Basic Information
| Provider Information | |||||||||
| NPI: | 1235465139 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HANNA | ||||||||
| FirstName: | SILVANA | ||||||||
| MiddleName: | F | ||||||||
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| Credential: | PSY.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 225 N MARIPOSA AVE | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900044509 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2133895820 | ||||||||
| FaxNumber: | 2133895802 | ||||||||
| Practice Location | |||||||||
| Address1: | 340 N MADISON AVE | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900043504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3236442026 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/27/2009 | ||||||||
| LastUpdateDate: | 04/04/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | PSY 24534 | CA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.