Most Relevant Information
Provider Data
| NPI Number: | 1003694043 |
| Provider Name: | HANNAH SCHILLECI LSSP |
| Entity Type: | Individual |
| Taxonomy Code: | 103TS0200X |
| Specialty: | Psychologist |
| License Number: | 419106 |
Most Important Dates
| Enumeration Date: | 09/20/2023 |
| Last Updated: | 09/20/2023 |
Provider Practice Location
1709 ARBOR DR
CLOVIS
NM
881012305
Practice Location Phone/Fax
| Phone: | 2102134983 |
| Fax: |
Provider Mailing Location
1709 ARBOR DR
CLOVIS
NM
881012305
Provider Mailing Phone/Fax
| Phone: | 2102134983 |
| Fax: |