Provider Demographics
NPI:1205315330
Name:HARTSWICK, HANNAH LISE (MS, LPC, CCTP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:LISE
Last Name:HARTSWICK
Suffix:
Gender:F
Credentials:MS, LPC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1696 PURDUE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:BELLEFONTE
Mailing Address - State:PA
Mailing Address - Zip Code:16823-8816
Mailing Address - Country:US
Mailing Address - Phone:814-441-3034
Mailing Address - Fax:
Practice Address - Street 1:1107 W COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-2823
Practice Address - Country:US
Practice Address - Phone:814-325-0280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010614101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional