Provider Demographics
NPI:1134899412
Name:HANSON, LATOYA (LMSW)
Entity type:Individual
Prefix:MS
First Name:LATOYA
Middle Name:
Last Name:HANSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:LATOYA
Other - Middle Name:
Other - Last Name:HANSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:248 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-1130
Mailing Address - Country:US
Mailing Address - Phone:516-851-0588
Mailing Address - Fax:
Practice Address - Street 1:248 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-1130
Practice Address - Country:US
Practice Address - Phone:516-851-0588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health