Provider Demographics
NPI:1699270793
Name:HODGE-YEANEY, HANNAH JANNELLE
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:JANNELLE
Last Name:HODGE-YEANEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:JANNELL
Other - Last Name:HODGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1001 LOUISIANA AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2800
Mailing Address - Country:US
Mailing Address - Phone:361-815-2433
Mailing Address - Fax:
Practice Address - Street 1:1001 LOUISIANA AVE STE 200
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2800
Practice Address - Country:US
Practice Address - Phone:361-815-2433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician