Provider Demographics
NPI:1811250418
Name:KLEIN, HANNAH WASHINGTON (MD PHD)
Entity type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:WASHINGTON
Last Name:KLEIN
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:WASHINGTON
Other - Last Name:KLEIN DE LICONA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:UIHC DEPARTMENT OF NEUROLOGY
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-384-8476
Mailing Address - Fax:
Practice Address - Street 1:6 SAND HILL RD STE 202
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4946
Practice Address - Country:US
Practice Address - Phone:908-237-5566
Practice Address - Fax:908-237-4080
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE318332084N0402X
NJ25MA109803002084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology