Provider Demographics
NPI:1356659908
Name:DAVIS, HANNAH EDITH (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:EDITH
Last Name:DAVIS
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13635 E 104TH AVE UNIT 800
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-8420
Mailing Address - Country:US
Mailing Address - Phone:720-432-7690
Mailing Address - Fax:720-247-9250
Practice Address - Street 1:13635 E 104TH AVE UNIT 800
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-8420
Practice Address - Country:US
Practice Address - Phone:720-432-7690
Practice Address - Fax:719-212-1473
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12409101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional