Healthcare Provider Details

I. General information

NPI: 1689588006
Provider Name (Legal Business Name): LAUREN HANNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 STATE ROUTE 132
AMELIA OH
45102-1718
US

IV. Provider business mailing address

552 HOPPER VIEW BLF
CINCINNATI OH
45255-5223
US

V. Phone/Fax

Practice location:
  • Phone: 513-943-8935
  • Fax:
Mailing address:
  • Phone: 440-429-5090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: