Organization
DAVID E HANSEN, PH.D, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMGE HANSEN (OFFICE MANAGER)
(918) 712-9004
Entity
Organization
Contact information
Practice address
5512 S LEWIS AVE STE 8, TULSA, OK 74105-7140
(918) 712-9004
Mailing address
5512 S LEWIS AVE STE 8, TULSA, OK 74105-7140
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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