Provider Demographics
NPI:1316536337
Name:KARALASH, HANNAH (AS)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:
Last Name:KARALASH
Suffix:
Gender:F
Credentials:AS
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:STALEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2268 PALMER RD
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:MA
Mailing Address - Zip Code:01069-9319
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2268 PALMER RD
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-9319
Practice Address - Country:US
Practice Address - Phone:636-357-7554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician