MEDICARE: DONNA ELIZABETH HANLEY MA, LMHC

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
1	101YM0800X	Mental Health Counselor	000692-1	NY

General Provider Information

NPI Number	:	1265530398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA ELIZABETH HANLEY MA, LMHC

Provider Business Mailing Address
First Line	:	1154 BROOKVIEW STATION RD
Second Line	:
City	:	CASTLETON
State	:	NY
Zip	:	12033
Country	:	US
Telephone Number	:	518-732-4264
Fax Number	:

Provider Business Practice Location Address
First Line	:	614 COOPER HILL RD
Second Line	:
City	:	WYNANTSKILL
State	:	NY
Zip	:	12198-2906
Country	:	US
Telephone Number	:	518-283-6500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	07/08/2007

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