Individual
MS. CHERYL LYNN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSEDPSYCHOLOGIST
Contact information
Practice address
160 KELLOGG BLVD E, SAINT PAUL, MN 55101-1420
(651) 266-4094
(651) 266-4663
Mailing address
1128 IOWA AVE W, SAINT PAUL, MN 55108-2242
(651) 487-0440
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP4132
MN
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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