Healthcare Provider Details

I. General information

NPI: 1942141866
Provider Name (Legal Business Name): HANNAH KAGANAC PHD, LLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7937 RUBY ST
UTICA MI
48317-5349
US

IV. Provider business mailing address

7937 RUBY ST
UTICA MI
48317-5349
US

V. Phone/Fax

Practice location:
  • Phone: 586-337-7923
  • Fax: 248-792-3249
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6351004850
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: