Provider Demographics
NPI:1215970173
Name:HANNA, PATRICIA BEVERLY (MSW)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:BEVERLY
Last Name:HANNA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VIA DI PARGA 38/F
Mailing Address - Street 2:
Mailing Address - City:SANTA BRIGIDIA
Mailing Address - State:FI
Mailing Address - Zip Code:50060
Mailing Address - Country:IT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:U.S. ARMY MEDICAL CLINIC, CAMP DARBY
Practice Address - Street 2:VIA LIVORNESE
Practice Address - City:PISA
Practice Address - State:PI
Practice Address - Zip Code:56100
Practice Address - Country:IT
Practice Address - Phone:3905-054-7077
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVCP009398891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical