Individual
DIANE G HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D
Contact information
Practice address
12 CHANCERY CT, PH9, LYNN, MA 01902-4248
(617) 373-2772
Mailing address
12 CHANCERY CT, PH9, LYNN, MA 01902-4248
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2979
MA
103TC1900X
Counseling Psychologist
Primary
2979
MA
Other
Enumeration date
02/28/2007
Last updated
09/11/2025
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