Patricia Laura Hanks, LLP
Individual provider Active NPI Cognitive & Behavioral Psychologist · Newport, MI
NPI 1386796746 · NPPES record last updated Jul 2, 2013
Key facts
- NPI
- 1386796746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cognitive & Behavioral Psychologist 103TB0200X
- License
- 6301013233 (MI)
- Practice address
- 6800 Lakeshore Dr
Newport, MI 48166-9716 - Phone
- (269) 605-9287
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39001558A | IN | MD | Mental Health Counselor |
| 6301013233 | MI | MD | Cognitive & Behavioral Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 6301013233 | MI | Yes |
| Mental Health Counselor | 101YM0800X | 39001558A | IN |
Addresses
Primary practice location
6800 Lakeshore Dr
Newport, MI 48166-9716
Mailing address
6800 Lakeshore Dr
Newport, MI 48166-9716
Phone (269) 605-9287
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All providers in Newport, MI · Cognitive & Behavioral Psychologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.