Individual
MRS. DEBORAH RUDDY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
6 UNIVERSAL WAY, JACKSON, MI 49202-1455
(517) 782-8714
(517) 782-8705
Mailing address
6 UNIVERSAL WAY, JACKSON, MI 49202-1455
(517) 782-8714
(517) 782-8705
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006510
MI
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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