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NPI Code Detail

MEDICARE: DR. ANDREA HANLEY PH.D.

MEDICARE: DR. ANDREA HANLEY PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistPY10224FL

General Provider Information

NPI Number : 1982097093
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA HANLEY PH.D.
Provider Business Mailing Address
First Line : 1500 GATEWAY BLVD STE 220
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-7233
Country : US
Telephone Number : 561-789-7793
Fax Number :
Provider Business Practice Location Address
First Line : 1500 GATEWAY BLVD STE 220
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-7233
Country : US
Telephone Number : 561-789-7793
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2015
Last Update Date : 10/04/2019

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