Individual
GREGORY A HANSON
Active
Individual
GREGORY A HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LP
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP3050
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108462C154
UCARE
MN
01
—
37P59HA
BCBS
MN
01
—
411425197
CIGNA BEHAVIORAL HEALTH
MN
01
—
6130488
MEDICA CHOICE
MN
05
—
659555300
—
MN
01
—
94379
OPTUM
MN
Enumeration date
11/15/2006
Last updated
01/28/2021
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