Individual
GREGORY DONALD HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
769 NEWFIELD ST, SUITE 3, MIDDLETOWN, CT 06457-1846
(860) 523-0177
(860) 523-4300
Mailing address
769 NEWFIELD ST, SUITE 3, MIDDLETOWN, CT 06457-1846
(860) 523-0177
(860) 523-4300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
001068
CT
Other
Enumeration date
03/24/2006
Last updated
07/08/2007
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