DR. CHARLES PAGE HANNAFORD (NPI# 1578698460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578698460 |
| Entity Type | Individual |
| Full Name | DR. CHARLES PAGE HANNAFORD |
| Credential | PH.D. |
| Practice Address |
2176 West St Ste 200 A Germantown TN 38138-3859 |
| Practice Telephone | 9017565060 |
| Practice Fax Number | 9017568246 |
| Mailing Telephone | 9017565060 |
| Mailing Fax Number | 9017568246 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
366 | MS | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P969 | TN | Behavioral Health & Social Service Providers |
| Street Address |
2176 WEST ST STE 200 A |
| City | GERMANTOWN |
| State | TN |
| Zip Code | 38138-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750637310 | Andrea Lynn Morley | Psychologist | 20528 Boland Farm Rd Ste 207, Germantown, MD 20876-4038 | 2012-07-31 |
| 1295090421 | David Mahoney | Psychologist | 20400 Observation Dr Ste 103, Germantown, MD 20876-4086 | 2012-07-13 |
| 1992994503 | Bernard L Brookes | Psychologist | 20407 Waters Point Ln, Germantown, MD 20874-1066 | 2007-10-19 |
| 1801954920 | Samuel Thomas Gontkovsky | Psychologist | W175n11163 Stonewood Dr Ste 200, Germantown, WI 53022-6502 | 2006-12-04 |
| 1437231511 | Catherine Morton | Psychologist | 2022 Exeter Rd # 1, Germantown, TN 38138-3945 | 2006-10-19 |
| 1003839887 | William Rayburn Gentry Jr. | Psychologist | 1922 Exeter Rd, Suite 7, Germantown, TN 38138-2949 | 2006-07-25 |
| 1295715472 | North Star Counseling Services, LLC | Psychologist | W175n11163 Stonewood Dr., Suite 225, Germantown, WI 53022-6503 | 2006-01-22 |
| 1487288361 | Rachel L Micol | Psychologist | 13240 Executive Park Ter, Germantown, MD 20874-2640 | 2020-02-28 |
| 1841832318 | Brittany Ann Kinman | Psychologist | 7516 Enterprise Ave, Germantown, TN 38138-3802 | 2019-10-16 |
| 1437708146 | Adrienne Pena | Psychologist | 20680 Seneca Meadows Pkwy Ste 217, Germantown, MD 20876-7029 | 2019-09-05 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 38138 |
Please comment or provide details below to improve the information on DR. CHARLES PAGE HANNAFORD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.