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Organization

HANSEN BEHAVIORAL HEALTH A PSYCHOLOGICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALICIA SUSANA HANSEN P.H.D. (CLINICAL PSYCHOLOGIST)
(213) 448-2835
Entity
Organization

Contact information

Practice address
524 N MARYLAND AVE, SUITE 1, GLENDALE, CA 91206-2266
(213) 448-2835
(213) 405-2413
Mailing address
524 N MARYLAND AVE, SUITE 1, GLENDALE, CA 91206-2266
(213) 448-2835
(213) 405-2413

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY27482
CA

Other

Enumeration date
01/15/2016
Last updated
01/15/2016
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