Provider Demographics
NPI:1174981955
Name:HANNA, DAYNA PIZZIGONI (PHD, LCPC, NCC, MS)
Entity type:Individual
Prefix:DR
First Name:DAYNA
Middle Name:PIZZIGONI
Last Name:HANNA
Suffix:
Gender:F
Credentials:PHD, LCPC, NCC, MS
Other - Prefix:MS
Other - First Name:DAYNA
Other - Middle Name:M
Other - Last Name:PIZZIGONI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LGPC
Mailing Address - Street 1:280 N PROVIDENCE RD STE 106
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-3530
Mailing Address - Country:US
Mailing Address - Phone:908-666-4335
Mailing Address - Fax:
Practice Address - Street 1:280 N PROVIDENCE RD STE 106
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3530
Practice Address - Country:US
Practice Address - Phone:908-812-4091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YP1600X
MDLC8322101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral