Individual
DR. BRUCE A. HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
101 AUPUNI ST, STE. 118, HILO, HI 96720-4246
(808) 961-5500
Mailing address
101 AUPUNI ST, STE. 118, HILO, HI 96720-4246
(808) 961-5500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
385
HI
Other
Enumeration date
02/23/2008
Last updated
02/23/2008
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