Provider Demographics
NPI:1912468356
Name:PLATIPODIS, HANNAH MICHELLE (MS)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:MICHELLE
Last Name:PLATIPODIS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MISS
Other - First Name:HANNAH
Other - Middle Name:MICHELLE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:508 NIGHTINGALE LN
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63123-7610
Mailing Address - Country:US
Mailing Address - Phone:314-315-2660
Mailing Address - Fax:
Practice Address - Street 1:1616 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-2046
Practice Address - Country:US
Practice Address - Phone:314-771-2539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO12147627103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst