| David M Hansen Phd | |
|
37 Fairmont Ave Poughkeepsie NY 12603-2423 | |
| (845) 485-1171 | |
| (845) 485-1171 |
| Full Name | David M Hansen Phd |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 37 Fairmont Ave, Poughkeepsie, New York |
| Authorized Official Name and Position | David Hansen Hansen (OWNER) |
| Authorized Official Contact | 8454851171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David M Hansen Phd 37 Fairmont Ave Poughkeepsie NY 12603-2423 Ph: (845) 485-1171 | David M Hansen Phd 37 Fairmont Ave Poughkeepsie NY 12603-2423 Ph: (845) 485-1171 |
| NPI Number | 1376728543 |
|---|---|
| Provider Enumeration Date | 01/07/2008 |
| Last Update Date | 01/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376728543 | NPI | - | NPPES |
| 01668708 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 008399-1 (New York) | Primary |
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