Individual
DR. STEPHANIE HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
10116 36TH AVENUE CT SW STE 109, LAKEWOOD, WA 98499-6005
(253) 448-5990
Mailing address
10116 36TH AVENUE CT SW STE 109, LAKEWOOD, WA 98499-6005
(253) 448-5990
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PL5742
CA
103TC0700X
Clinical Psychologist
Primary
PY1084
WA
Other
Enumeration date
05/02/2010
Last updated
08/04/2015
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