Healthcare Provider Details

I. General information

NPI: 1245164797
Provider Name (Legal Business Name): KAITLYN MARIE HANNA MS, LPC, NCC, CGP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4259 W SWAMP RD STE 404
DOYLESTOWN PA
18902-1033
US

IV. Provider business mailing address

4259 W SWAMP RD STE 404
DOYLESTOWN PA
18902-1033
US

V. Phone/Fax

Practice location:
  • Phone: 267-857-4567
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC019689
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: