Provider Demographics
NPI:1699014704
Name:HANNAH, ANDREW B (MAE, LMHC)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:B
Last Name:HANNAH
Suffix:
Gender:M
Credentials:MAE, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 SPIT BROOK RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-5636
Mailing Address - Country:US
Mailing Address - Phone:603-379-6282
Mailing Address - Fax:
Practice Address - Street 1:71 SPIT BROOK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5636
Practice Address - Country:US
Practice Address - Phone:603-379-6282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH724101YM0800X, 221700000X, 225600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No225600000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDance Therapist