Individual
MICHAEL HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
935 PARK AVENUE, CRANSTON, RI 02910
(401) 781-4380
(401) 781-4396
Mailing address
ONE SPURWINK PLACE, CRANSTON, RI 02910
(401) 781-4380
(401) 781-4396
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS00501
RI
103TC0700X
Clinical Psychologist
PY 9226
FL
Other
Enumeration date
01/23/2008
Last updated
11/10/2015
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