Provider Demographics
NPI:1386345734
Name:PIETRA, HANNAH NOEL (MT-BC, LCAT)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:NOEL
Last Name:PIETRA
Suffix:
Gender:F
Credentials:MT-BC, LCAT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:NOEL
Other - Last Name:SCHULDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6364 RANDALL RD
Mailing Address - Street 2:
Mailing Address - City:JAMESVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13078-8750
Mailing Address - Country:US
Mailing Address - Phone:315-664-2967
Mailing Address - Fax:
Practice Address - Street 1:6364 RANDALL RD
Practice Address - Street 2:
Practice Address - City:JAMESVILLE
Practice Address - State:NY
Practice Address - Zip Code:13078-8750
Practice Address - Country:US
Practice Address - Phone:315-664-2967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002808225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist