Provider Demographics
NPI:1588798219
Name:HANNA, JOYCE E (MSS LCSW)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:E
Last Name:HANNA
Suffix:
Gender:F
Credentials:MSS LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 DECHERT ROAD
Mailing Address - Street 2:
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2114
Mailing Address - Country:US
Mailing Address - Phone:610-834-0346
Mailing Address - Fax:610-834-0346
Practice Address - Street 1:29 DECHERT ROAD
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-2114
Practice Address - Country:US
Practice Address - Phone:610-834-0346
Practice Address - Fax:610-834-0346
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0137601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA651522Medicare ID - Type Unspecified