Provider Demographics
NPI:1386972263
Name:LORD, HANNAH (MS, PSYD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:LORD
Suffix:
Gender:F
Credentials:MS, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 UNION STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027
Mailing Address - Country:US
Mailing Address - Phone:413-824-7471
Mailing Address - Fax:413-527-3100
Practice Address - Street 1:123 UNION STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027
Practice Address - Country:US
Practice Address - Phone:413-824-7471
Practice Address - Fax:413-527-3100
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-03
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9944103TC0700X
MA7866101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health