Provider Demographics
NPI:1568971893
Name:HANNA, RAKECIA J (MED EARLY CHILDHOOD)
Entity Type:Individual
Prefix:MS
First Name:RAKECIA
Middle Name:J
Last Name:HANNA
Suffix:
Gender:F
Credentials:MED EARLY CHILDHOOD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4907 S DAKOTA AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-3916
Mailing Address - Country:US
Mailing Address - Phone:202-210-5115
Mailing Address - Fax:
Practice Address - Street 1:804 3RD ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3443
Practice Address - Country:US
Practice Address - Phone:202-854-0316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-29
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency