Individual
MS. PATRICIA ANN HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA PPS
Contact information
Practice address
36300 FREMONT BLVD, FREMONT, CA 94536-3511
(510) 414-4409
Mailing address
36300 FREMONT BLVD, FREMONT, CA 94536-3511
(510) 414-4409
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
200138878
CA
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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