| Doctor Name: | DR. TARA ANNE HANNON |
| NPI Number: | 1427304245 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 019464 |
| Business Practice Address: | 800 Cross River Rd Four Winds Hosptial--sunset Unit Katonah, NY - 105363549 |
| Business Phone Number: | 9147638151 |
| Business Fax Number: | 8778101154 |
| Mailing Address: | 6 Standish Dr, SCARSDALE |
| State: | NY |
| Postal Code: | 105836830 |
| Phone Number: | 9147638151 |
| Fax Number: | 8778101154 |
| NPI Enumeration Date: | 07/30/2012 |
| NPI Last Update Date: | 07/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC2200X |
| License Number: | 019464 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical Child & Adolescent |
| Taxonomy Definition: | |