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Individual

DR. JEAN SULLIVAN HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
9 CENTENNIAL DR UNIT 202, PEABODY, MA 01960-7940
(978) 209-9391
(978) 209-9391
Mailing address
9 CENTENNIAL DR UNIT 202, PEABODY, MA 01960-7940
(978) 209-9391
(978) 209-9391

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6389
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
779620-000
PACIFICARE
MA
01
W06383
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/02/2006
Last updated
05/29/2025
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