Individual
DR. ELLEN M HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL DEVELOPMENTAL MEDICINE CENTER, BOSTON, MA 02043
(617) 355-4212
(617) 730-0252
Mailing address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL, DEVELOPMENTAL MEDICINE CENTER, BOSTON, MA 02043
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
8561
MA
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
8561
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
8561
MA
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06527
BLUE CROSS BLUE SHEILD
MA
Enumeration date
08/25/2006
Last updated
09/11/2025
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