Individual
SCOTT HANNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., L.P
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
(952) 993-5599
Mailing address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5855
MN
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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