Hansen Behavioral Health A Psychological Corporation | |
524 N Maryland Ave Suite 1 Glendale CA 91206-2266 | |
(213) 448-2835 | |
(213) 405-2413 |
Full Name | Hansen Behavioral Health A Psychological Corporation |
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Speciality | Psychologist - Clinical |
Location | 524 N Maryland Ave, Glendale, California |
Authorized Official Name and Position | Alicia Susana Hansen (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 2134482835 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hansen Behavioral Health A Psychological Corporation 524 N Maryland Ave Suite 1 Glendale CA 91206-2266 Ph: (213) 448-2835 | Hansen Behavioral Health A Psychological Corporation 524 N Maryland Ave Suite 1 Glendale CA 91206-2266 Ph: (213) 448-2835 |
NPI Number | 1366809790 |
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Provider Enumeration Date | 01/15/2016 |
Last Update Date | 01/15/2016 |
Identifier | Type | State | Issuer |
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1366809790 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PSY27482 (California) | Primary |
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