| Hanson Psychological, Pllc | |
|
4415 Grey Oaks Ct Wilmington NC 28412-2543 | |
| (910) 352-4657 | |
| Not Available |
| Full Name | Hanson Psychological, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4415 Grey Oaks Ct, Wilmington, North Carolina |
| Authorized Official Name and Position | Denise Joan Hanson (OWNER/ LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9103524657 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanson Psychological, Pllc 3205 Randall Pkwy Ste 207 Wilmington NC 28403-2569 Ph: (910) 352-4657 | Hanson Psychological, Pllc 4415 Grey Oaks Ct Wilmington NC 28412-2543 Ph: (910) 352-4657 |
| NPI Number | 1770238560 |
|---|---|
| Provider Enumeration Date | 02/20/2022 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/03/2022 |
| Medicare PECOS PAC ID | 1254711203 |
|---|---|
| Medicare Enrollment ID | O20220707003082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770238560 | NPI | - | NPPES |
| 1649258583 | Other | NC | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Denise J Hanson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649258583 PECOS PAC ID: 2567489990 Enrollment ID: I20051025001007 |
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