Individual
MR. RICHARD HOWARD HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3625 W CACTUS RD, PHOENIX, AZ 85029-3122
(623) 915-8066
(623) 915-8169
Mailing address
7650 N 43RD AVE, GLENDALE, AZ 85301-1661
(623) 435-6000
(623) 435-6078
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6272
AZ
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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