Provider Demographics
NPI:1285047597
Name:SMITH, HANNAH SMITH (MA)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:SMITH
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 E WASHINGTON ST
Mailing Address - Street 2:APT S501
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-3706
Mailing Address - Country:US
Mailing Address - Phone:239-565-9838
Mailing Address - Fax:
Practice Address - Street 1:1190 E WASHINGTON ST
Practice Address - Street 2:APT S501
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-3706
Practice Address - Country:US
Practice Address - Phone:239-565-9838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health