Individual
BETHANY HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9498
Mailing address
1920 BRIARCLIFF RD NE, ATLANTA, GA 30329-4010
(404) 785-9498
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY003900
GA
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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