National Provider Identifier
Alisa O'Riley Hannum, PH.D.
Alisa O'Riley Hannum, PH.D. is listed in the NPPES registry with a primary specialty of Clinical Psychologist in Farmington, NY and a listed phone number of (650) 833-8357.
Profile Overview
- NPI
- 1447506621
- Provider Type
- Individual
- Primary Specialty
- Clinical Psychologist
- Enumeration Date
- July 25, 2012
- Last Updated
- May 01, 2024
Practice Location
- 1130 Willow Brook Bnd
- Farmington, NY 14425-9064
Phone: (650) 833-8357
Mailing Address
- 5585 Erindale Dr Ste 203
- Colorado Springs, CO 80918-6969
Specialties
- Clinical Psychologist (103TC0700X)
Full Record
- NPI
- 1447506621
- Entity Type
- Individual
- Last Name
- Hannum
- First Name
- Alisa
- Middle Name
- O'Riley
- Credential
- PH.D.
- Provider Other Last Name
- O'Riley
- Provider Other First Name
- Alisa
- Provider Other Middle Name
- Anne
- Provider Other Credential Text
- PHD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 5585 Erindale Dr Ste 203
- Mailing City
- Colorado Springs
- Mailing State
- CO
- Mailing ZIP Code
- 80918-6969
- Mailing Country
- US
- Practice Street Address
- 1130 Willow Brook Bnd
- Practice City
- Farmington
- Practice State
- NY
- Practice ZIP Code
- 14425-9064
- Practice Country
- US
- Practice Phone
- (650) 833-8357
- Enumeration Date
- July 25, 2012
- Last Updated
- May 01, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 01, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Psychologist (103TC0700X)