Individual
ADDIE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
44750 60TH ST W, LANCASTER, CA 93536-7619
(661) 729-2000
Mailing address
3019 OCEAN PARK BLVD # 146, SANTA MONICA, CA 90405-3004
(847) 951-8366
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32207
CA
103T00000X
Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2019
Last updated
09/13/2024
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