Provider Demographics
NPI:1952957870
Name:MASANOTTI, HANNAH (MT-BC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:MASANOTTI
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:
Other - Last Name:SOPHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MT-BC
Mailing Address - Street 1:5050 YALE ST APT 143
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-2244
Mailing Address - Country:US
Mailing Address - Phone:713-570-6368
Mailing Address - Fax:
Practice Address - Street 1:5050 YALE ST APT 143
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-2244
Practice Address - Country:US
Practice Address - Phone:803-201-2378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
14674225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist