Individual
MS. TRISTAN O HANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 MAINE ST, BRUNSWICK, ME 04011-2049
(207) 607-4022
Mailing address
1772 JACK WHITE RD, HORNELL, NY 14843-9745
(907) 230-1027
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS2489
ME
Other
Enumeration date
08/11/2017
Last updated
07/28/2023
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