Provider Demographics
NPI:1841325925
Name:WINGATE, HAN ANN (LMFT)
Entity type:Individual
Prefix:MS
First Name:HAN
Middle Name:ANN
Last Name:WINGATE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:864 N ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-3536
Mailing Address - Country:US
Mailing Address - Phone:707-694-0280
Mailing Address - Fax:
Practice Address - Street 1:864 N ALLEN ST
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-3536
Practice Address - Country:US
Practice Address - Phone:707-694-0280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2025-04-14
Deactivation Date:2018-08-06
Deactivation Code:
Reactivation Date:2025-04-14
Provider Licenses
StateLicense IDTaxonomies
CA48927106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist