Individual
MICHELLE G HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2570 FOXFIELD RD STE 107, ST CHARLES, IL 60174-1406
(630) 853-3890
Mailing address
1544 BANBURY AVE, ST CHARLES, IL 60174-4404
(630) 853-3890
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010025
IL
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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