Provider Demographics
NPI:1255111753
Name:HARRELL, HANNAH MAREE I
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MAREE
Last Name:HARRELL
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5940 W WHITLEY AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-9154
Mailing Address - Country:US
Mailing Address - Phone:559-993-0379
Mailing Address - Fax:
Practice Address - Street 1:5940 W WHITLEY AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-9154
Practice Address - Country:US
Practice Address - Phone:559-993-0379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician