Individual
CHRISTINE A HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
N2846 STATE ROAD 67, WILLIAMS BAY, WI 53191-3771
(262) 245-5608
(262) 245-5648
Mailing address
N2846 STATE ROAD 67, WILLIAMS BAY, WI 53191-3771
(262) 245-5608
(262) 245-5648
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3178-57
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08258
—
OH
Enumeration date
09/08/2009
Last updated
10/14/2014
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