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1417994690
MICHAEL H. HANSEN
CHICAGO, IL
NPI
1417994690
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TP0016X Psychologist, Prescribing (Medical)
(Licence: LA MP.0017)
Enumeration Date
2006-05-31
Last Update Date
2012-05-01
Business Address
Dr. MICHAEL H. HANSEN PsyD
3860 W OGDEN AVE
CHICAGO, IL 60623-2460
Phone number: 773-843-3000
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Mailing Address
Dr. MICHAEL H. HANSEN PsyD
5001 HIGHWAY190 SUITE B1
COVINGTON, LA 70433
Phone number: 985-590-5744
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