# DR. ELLEN M HANSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336257062
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 8561 | MA | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | 8561 | MA | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TM1800X | Intellectual & Developmental Disabilities Psychologist | 8561 | MA | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | W06527 | BLUE CROSS BLUE SHEILD | MA |