Provider Demographics
NPI:1992544779
Name:STEIN, HANNAH FAITH
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:FAITH
Last Name:STEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 VANTAGE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-3206
Mailing Address - Country:US
Mailing Address - Phone:585-313-9134
Mailing Address - Fax:
Practice Address - Street 1:2507 BROWNCROFT BLVD STE 106B
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14625-1523
Practice Address - Country:US
Practice Address - Phone:585-210-8287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health