Provider Demographics
NPI:1760525117
Name:HANWRIGHT, JOAN RITA MARGARET (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:RITA MARGARET
Last Name:HANWRIGHT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 BENSON AVE
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-2924
Mailing Address - Country:US
Mailing Address - Phone:631-567-4296
Mailing Address - Fax:631-567-1193
Practice Address - Street 1:210 DEER PARK AVE
Practice Address - Street 2:
Practice Address - City:BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11702-2832
Practice Address - Country:US
Practice Address - Phone:631-587-1924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003095101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health