Provider Demographics
NPI:1669139598
Name:HANN, MAKALAH (LMFT)
Entity type:Individual
Prefix:
First Name:MAKALAH
Middle Name:
Last Name:HANN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MAKALAH
Other - Middle Name:
Other - Last Name:BETTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:38 COUNTY ROUTE 33
Mailing Address - Street 2:
Mailing Address - City:CENTRAL SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:13036-2316
Mailing Address - Country:US
Mailing Address - Phone:315-706-8200
Mailing Address - Fax:
Practice Address - Street 1:38 COUNTY ROUTE 33
Practice Address - Street 2:
Practice Address - City:CENTRAL SQUARE
Practice Address - State:NY
Practice Address - Zip Code:13036-2316
Practice Address - Country:US
Practice Address - Phone:315-706-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist