Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 101YP1600X | Pastoral Counselor | ||
Y | 101YP2500X | Professional Counselor | LC8322 | MD |
NPI | 1174981955 |
---|---|
Provider Name | Dr. Dayna Pizzigoni Hanna |
First Address | Media, PA 19063-3530 |
Second Address | Media, PA 19063-3530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2016 |
Last Update Date | 21/03/2018 |