Provider Demographics
NPI:1477187508
Name:O'CONNOR, HANNAH (MJ, PSYD, HSPP)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:MJ, PSYD, HSPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 E 98TH ST STE 107
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46280-1973
Mailing Address - Country:US
Mailing Address - Phone:463-273-2093
Mailing Address - Fax:
Practice Address - Street 1:3003 E 98TH ST STE 107
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46280-1973
Practice Address - Country:US
Practice Address - Phone:463-273-2093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20043330A103TC0700X
103TF0200X
IN20043330B103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic