Individual
ROBERT G HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
ONE ST FRANCIS DRIVE, 9TH FLOOR, GREENVILLE, SC 29601
(864) 255-1563
(864) 255-1913
Mailing address
1300 SHAW RD, WOODRUFF, SC 29388
(864) 313-7911
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
563
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
563
SC PSYCH
—
Enumeration date
10/24/2006
Last updated
07/08/2007
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