DR. Michelle Suzanne Rivera Hanby, PH.D.

NPI #1659618338 in Goodfellow Afb, Texas

Provider Information

NPI Number: 1659618338
Entity Type: Individual
Name: DR. Michelle Suzanne Rivera Hanby, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH.D.
Enumeration Date: Jan 15, 2013
Last Updated: Jan 14, 2019

Practice Location

Address: 271 FORT RICHARDSON AVE
City: Goodfellow Afb
State: Texas
ZIP Code: 76908-4901
Phone: (325) 654-3122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist	103T00000X	Primary

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