Healthcare Provider Details

I. General information

NPI: 1154284743
Provider Name (Legal Business Name): HANNAH SHELBURNE NEWHALL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 HUGUENOT ST STE 200
NEW ROCHELLE NY
10801-7710
US

IV. Provider business mailing address

PO BOX 191
HUDSON NY
12534-0191
US

V. Phone/Fax

Practice location:
  • Phone: 914-246-4100
  • Fax:
Mailing address:
  • Phone: 518-303-2692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: