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Individual
DR. ELLEN M HANSON
Active
Individual
DR. ELLEN M HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
8561
MA
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TC0700X
Clinical Psychologist
8561
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TM1800X
Intellectual & Developmental Disabilities Psychologist
8561
MA
103TP2701X
Group Psychotherapy Psychologist
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06527
BLUE CROSS BLUE SHEILD
MA
Enumeration date
08/25/2006
Last updated
09/11/2025
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