Individual
DR. MARY CREER HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
777 S WADSWORTH BLVD, 4-170, LAKEWOOD, CO 80226-4300
(303) 980-8111
(303) 722-0209
Mailing address
803 S PEARL ST, DENVER, CO 80209-4221
(303) 980-8111
(303) 722-0209
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
471
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9612
—
CO
Enumeration date
07/26/2006
Last updated
02/13/2014
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