Provider Demographics
NPI:1952578007
Name:HANNI, LORNA JANINE
Entity Type:Individual
Prefix:MRS
First Name:LORNA
Middle Name:JANINE
Last Name:HANNI
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:LORNA
Other - Middle Name:JANINE
Other - Last Name:PENNISI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5030 EL CAMINO AVE
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-4650
Mailing Address - Country:US
Mailing Address - Phone:925-212-5488
Mailing Address - Fax:916-609-5161
Practice Address - Street 1:5030 EL CAMINO AVE
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-4650
Practice Address - Country:US
Practice Address - Phone:916-281-1640
Practice Address - Fax:916-609-5100
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA53191106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFC 53191OtherBOARD OF BEHAVIORAL SCIENCES, CALIFORNIA