Individual
DR. ELIZABETH LYNN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1035 W GLEN OAKS LN STE 110, MEQUON, WI 53092-3392
(262) 240-0299
(414) 329-5637
Mailing address
2424 S 90TH ST, SUITE 502, WEST ALLIS, WI 53227-2455
(414) 329-5365
(414) 329-5637
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3087-57
WI
Other
Enumeration date
07/06/2009
Last updated
04/25/2019
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