Provider Demographics
NPI:1295325876
Name:KANTER, HANNAH MAUD
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:MAUD
Last Name:KANTER
Suffix:
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 1:20 CHILD ST APT 914
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02141-1777
Mailing Address - Country:US
Mailing Address - Phone:248-686-6586
Mailing Address - Fax:833-415-1905
Practice Address - Street 1:20 CHILD ST APT 914
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02141-1777
Practice Address - Country:US
Practice Address - Phone:248-686-6586
Practice Address - Fax:833-415-1905
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-19
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011089021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical