NPI | 1093805095 |
---|---|
Entity Type | Organization |
Authorized Contact | PETER JOHN HANSEN Licensed Psychologist/Owner 414-303-4205 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: WI 2072-057) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2013-06-20 |