Individual
DR. CASEY ANN HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., LPC
Contact information
Practice address
W6240 COMMUNICATION CT STE 2, APPLETON, WI 54914-8549
(203) 640-7479
(920) 364-0747
Mailing address
W6240 COMMUNICATION CT STE 2, APPLETON, WI 54914-8549
(920) 364-0747
(920) 364-0747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3646-125
WI
103TC0700X
Clinical Psychologist
2798
WI
103TC0700X
Clinical Psychologist
Primary
2798-057
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41000400
—
WI
Enumeration date
08/14/2007
Last updated
11/06/2023
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