Shanice Lavon Hannah, SSP II, LPES

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

4750 Issued in SC

Practice address

1516 S Langley Dr
Florence, SC 29501-6149

Phone

(843) 621-0263

Fax

(843) 536-8522

NPI assigned

Mar 10, 2021

Last updated

Mar 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bask Psychological Services

  • Clinical Psychologist
  • Florence, SC
  • NPI 1134683006
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1750966958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 HERITAGE LN APT F6",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295053144",
            "telephone_number": "843-373-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 S LANGLEY DR",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295016149",
            "telephone_number": "843-621-0263",
            "fax_number": "843-536-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "SHANICE",
        "middle_name": "LAVON",
        "name_prefix": "Miss",
        "credential": "SSP II, LPES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "4750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Elaine Hanna, DPT
• Shealdon Hope Hanna, MAS
• William James Hanna III, CRNA
• Miranda Fern Hannah, MD
• Sha'Non Hannah
• Emily Griffith Hanners, D.C.
• Brandon Cory Hansen, OTR/L
• Kelli Jo Hansen
• Katlin Hanson
• William Daniel Hardaway, M.D.

• School Psychologist in Florence, SC
• Providers in Florence, SC by specialty
• School Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.