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NPI Code Detail

MEDICARE: HANNAH PELL

MEDICARE: HANNAH PELL
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1366399297
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH PELL
Provider Business Mailing Address
First Line : 281 HIGHLAND AVE APT 2B
Second Line :
City : SOMERVILLE
State : MA
Zip : 02143-1311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 450 BEDFORD ST STE 2400
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-1544
Country : US
Telephone Number : 703-307-4584
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ HANNAH PELL ” Practice Location

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