Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1043616204 |
---|---|
Provider Name | Dr. Coleen Ann Hanna |
First Address | Buffalo, NY 14212-1501 |
Second Address | Buffalo, NY 14212-1501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2014 |
Last Update Date | 14/11/2014 |