Doctor Name: | MR. THOMAS W HANNAH |
NPI Number: | 1184736845 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 000212 |
Business Practice Address: | 17 Bigelow Rd New Fairfield, CT - 06812 |
Business Phone Number: | 2037463408 |
Business Fax Number: | 2037462469 |
Mailing Address: | 17 Bigelow Rd, NEW FAIRFIELD |
State: | CT |
Postal Code: | 06812 |
Phone Number: | 2037463408 |
Fax Number: | 2037462469 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 000212 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |