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Individual

ROBERT KEITH HANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
710 BUCKSPORT RD, ELLSWORTH, ME 04605-2722
(207) 667-6890
(207) 667-6457
Mailing address
180 ACADEMY ST STE 3, PRESQUE ISLE, ME 04769-3183
(207) 554-2352
(207) 554-2351

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS1253
ME

Other

Enumeration date
08/27/2008
Last updated
02/02/2021
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