Provider Demographics
NPI:1598260804
Name:BOSSARD, HANNAH (LPC)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:
Last Name:BOSSARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:ELLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:6 MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07068-1429
Mailing Address - Country:US
Mailing Address - Phone:201-704-1723
Mailing Address - Fax:
Practice Address - Street 1:15 E MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1400
Practice Address - Country:US
Practice Address - Phone:908-878-1196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010577101YM0800X
NJ37PC00605000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health