Individual
STEPHEN CHARLES HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD, LCP
Contact information
Practice address
428 W LAWN ST APT 2, RUSHVILLE, IL 62681-1648
(312) 213-3926
Mailing address
428 W LAWN ST APT 2, RUSHVILLE, IL 62681-1648
(312) 213-3926
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010171
IL
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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