Keith William Hannan, PHD - Psychologist in Clarksville, MD

Keith William Hannan, PHD is a Psychologist - Clinical based in Clarksville, Maryland. Keith William Hannan is licensed to practice in Maryland (license number 02666) and his current practice location is 12037 Floating Clouds Path, Clarksville, Maryland. He can be reached at his office (for appointments etc.) via phone at (410) 707-0100.

NPI number for Keith William Hannan is 1093758591 and his current mailing address is 12037 Floating Clouds Path, Clarksville, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093758591.

Contact Information

Keith William Hannan, PHD
12037 Floating Clouds Path,
Clarksville, MD 21029-1678
(410) 707-0100
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKeith William Hannan
GenderMale
SpecialityPsychologist - Clinical
Location12037 Floating Clouds Path, Clarksville, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093758591
  • Provider Enumeration Date: 06/13/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Keith William Hannan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093758591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 02666 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith William Hannan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keith William Hannan, PHD
12037 Floating Clouds Path,
Clarksville, MD 21029-1678

Ph: (410) 707-0100
Keith William Hannan, PHD
12037 Floating Clouds Path,
Clarksville, MD 21029-1678

Ph: (410) 707-0100

Reviews and Comments


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