Individual
JACQOULENE HANSBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7055 W BELL RD STE B5, GLENDALE, AZ 85308-8544
(602) 818-4775
Mailing address
8607 N 59TH AVE STE C6, GLENDALE, AZ 85302-5435
(602) 818-4775
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY-005877
AZ
Other
Enumeration date
04/11/2022
Last updated
04/20/2025
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