Provider Demographics
NPI:1700172079
Name:HANNA, CATARINA II
Entity Type:Individual
Prefix:MRS
First Name:CATARINA
Middle Name:
Last Name:HANNA
Suffix:II
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 1:142 GOODEMOTE RD
Mailing Address - Street 2:
Mailing Address - City:BROADALBIN
Mailing Address - State:NY
Mailing Address - Zip Code:12025-1756
Mailing Address - Country:US
Mailing Address - Phone:518-883-5935
Mailing Address - Fax:
Practice Address - Street 1:25 SCHOOL DISTRICT RD
Practice Address - Street 2:CANAJOHARIE ELEMENTARY SCHOOL
Practice Address - City:CANAJOHARIE
Practice Address - State:NY
Practice Address - Zip Code:13317-1542
Practice Address - Country:US
Practice Address - Phone:581-673-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016900-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist