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Individual

MS. ALLISON ANN HANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D., HSPP

Contact information

Practice address
3103 BLACKISTON MILL RD, NEW ALBANY, IN 47150
(812) 590-7160
Mailing address
3103 BLACKISTON MILL RD, NEW ALBANY, IN 47150-9536
(812) 590-7160

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
20043275B
IN
103TC0700X
Clinical Psychologist
242904
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200542700A
IN
Enumeration date
12/18/2013
Last updated
08/16/2019
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