Individual
STAN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1567 LISBON ST, LEWISTON, ME 04240-3545
(207) 795-4022
(207) 795-4082
Mailing address
1567 LISBON ST, LEWISTON, ME 04240-3545
(207) 795-4022
(207) 795-4082
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1293
ME
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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