Hannan, Keith William

Hannan, Keith William is an individual health care provider with primary practice located at 12037 Floating Clouds Path , Clarksville MD 21029-1678. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Hannan, Keith William can be contacted via phone (410) 707-0100.

Contact Information

Primary practice address
12037 Floating Clouds Path Clarksville MD 21029-1678
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 02666 Maryland

Profile Details

NPI number 1093758591
LBN Legal business name Hannan, Keith William
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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