Individual
JUDY HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LEP
Contact information
Practice address
150 RAMSEY ROAD, LAYTONVILLE, CA 95454
(707) 984-6123
Mailing address
150 RAMSEY ROAD, LAYTONVILLE, CA 95454-8881
(661) 319-8400
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
3751
CA
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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