Provider Demographics
NPI:1508511346
Name:GREENBAUM, HANNAH KATHLEEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:KATHLEEN
Last Name:GREENBAUM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4132 B ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95819-2121
Mailing Address - Country:US
Mailing Address - Phone:916-628-7886
Mailing Address - Fax:
Practice Address - Street 1:4132 B ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-2121
Practice Address - Country:US
Practice Address - Phone:916-628-7886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist