Organization
DAVID M HANSEN PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID HANSEN HANSEN PHD (OWNER)
(845) 485-1171
Entity
Organization
Contact information
Practice address
37 FAIRMONT AVE, POUGHKEEPSIE, NY 12603-2423
(845) 485-1171
(845) 485-1171
Mailing address
37 FAIRMONT AVE, POUGHKEEPSIE, NY 12603-2423
(845) 485-1171
(845) 485-1171
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008399-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01668708
—
NY
Enumeration date
01/07/2008
Last updated
01/07/2008
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