Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 2008032435 | MO |
Y | 103TC0700X | Clinical Psychologist | 2008032435 | MO |
NPI | 1003142480 |
---|---|
Provider Name | Dr. Sarah Margaret Hanly |
First Address | Saint Louis, MO 63104-1003 |
Second Address | Saint Louis, MO 63104-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2009 |
Last Update Date | 10/11/2020 |