Provider Demographics
NPI:1659620524
Name:VERSINO, HANNAH MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:MARIE
Last Name:VERSINO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5440 E FALL CREEK PARKWAY NORTH DR STE A2
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-1463
Mailing Address - Country:US
Mailing Address - Phone:317-324-8591
Mailing Address - Fax:
Practice Address - Street 1:5440 E FALL CREEK PARKWAY NORTH DR STE A2
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-1463
Practice Address - Country:US
Practice Address - Phone:317-324-8591
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN20042939A103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent