Individual provider · Type 1 NPI
Katherine Sandra Hanley, PMHNP-BC, LMHC
Psychiatric/Mental Health Nurse Practitioner · Brockton, MA
NPI number
1124282470
Active
Practice location
30 Meadowbrook Rd
Brockton, MA 02301-7122
Fax (508) 408-6199
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | RN2290510 (MA) |
| Mental Health Counselor | 101YM0800X | 8236 (MA) |
| Registered Nurse | 163W00000X | RN2290510 (MA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124282470
Katherine Sandra Hanley, PMHNP-BC, LMHC's National Provider Identifier is 1124282470, issued on Jul 16, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brockton, MA. The record was last updated on Jan 22, 2020.