| Hanna Psychological Services, Pc | |
|
444 N Northwest Hwy Suite 375 Park Ridge IL 60068-3263 | |
| (224) 764-1879 | |
| Not Available |
| Full Name | Hanna Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 444 N Northwest Hwy, Park Ridge, Illinois |
| Authorized Official Name and Position | Brian Hanna (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8144492534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanna Psychological Services, Pc 444 N Northwest Hwy Suite 375 Park Ridge IL 60068-3263 Ph: (224) 764-1879 | Hanna Psychological Services, Pc 444 N Northwest Hwy Suite 375 Park Ridge IL 60068-3263 Ph: (224) 764-1879 |
| NPI Number | 1427430008 |
|---|---|
| Provider Enumeration Date | 06/19/2015 |
| Last Update Date | 06/19/2015 |
| Medicare PECOS PAC ID | 3274843487 |
|---|---|
| Medicare Enrollment ID | O20151029002749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427430008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071.008244 (Illinois) | Primary |
| Provider Name | Brian S. Hanna |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477729465 PECOS PAC ID: 4183934391 Enrollment ID: I20151029002849 |
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