Individual
MRS. DIANA ELIZABETH HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-A
Contact information
Practice address
12499 UNIVERSITY AVE, STE 200, CLIVE, IA 50325-8281
(515) 418-9960
(515) 418-9107
Mailing address
12499 UNIVERSITY AVE, STE 200, CLIVE, IA 50325-8281
(515) 418-9960
(515) 418-9107
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
345
IA
237600000X
Audiologist-Hearing Aid Fitter
620
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0414367
—
IA
Enumeration date
11/09/2006
Last updated
01/13/2016
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