Dr Peter John Hansen, PHD | |
2717 N Grandview Blvd, Suite 110, Waukesha, WI 53188-1672 | |
(414) 303-4205 | |
Not Available |
Full Name | Dr Peter John Hansen |
---|---|
Gender | Male |
Speciality | Psychologist - Counseling |
Location | 2717 N Grandview Blvd, Waukesha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619067600 | NPI | - | NPPES |
39130500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | 2072057 (Wisconsin) | Primary |
Entity Name | Hansen Therapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093805095 PECOS PAC ID: 7113957804 Enrollment ID: O20050812000391 |
Mailing Address | Practice Location Address |
---|---|
Dr Peter John Hansen, PHD 2717 N Grandview Blvd, Suite 110, Waukesha, WI 53188-1672 Ph: (414) 303-4205 | Dr Peter John Hansen, PHD 2717 N Grandview Blvd, Suite 110, Waukesha, WI 53188-1672 Ph: (414) 303-4205 |
Dr. David Lee Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 407 Pilot Ct, Suite #400, Waukesha, WI 53188 Phone: 262-524-9822 Fax: 262-832-0089 | |
Sheila Marie Gissibl, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2607 N Grandview Blvd, Suite 108, Waukesha, WI 53188 Phone: 262-313-8339 Fax: 262-910-1653 | |
Melody Williams, SAC-IT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 255 W Broadway, Waukesha, WI 53186 Phone: 262-420-9088 | |
Dr. Gail G. Zander, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20860 Watertown Rd, Waukesha, WI 53186 Phone: 262-821-6117 Fax: 262-821-6119 | |
Dr. Amy M Schley, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 204 Wisconsin Ave, Waukesha, WI 53186 Phone: 262-542-6694 Fax: 262-542-6213 | |
Dr. Michele A Cusatis, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1501 Airport Rd, Waukesha, WI 53188 Phone: 262-548-7957 Fax: 262-896-8046 | |
Dr. John Norbert Lemerond, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Riverview Ave, Waukesha, WI 53188 Phone: 262-548-7666 Fax: 262-548-7656 |