Individual
DR. DAVID EDWARD HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
5512 S LEWIS AVE, SUITE 8, TULSA, OK 74105-7140
(918) 712-9004
(918) 712-9120
Mailing address
5512 S LEWIS AVE, SUITE 8, TULSA, OK 74105-7140
(918) 712-9004
(918) 712-9120
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
849
OK
Other
Enumeration date
07/24/2006
Last updated
07/09/2007
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