Scott Hanneman, PH.D., L.P

NPI #1043608037 in St Louis Park, Minnesota

Provider Information

NPI Number: 1043608037
Entity Type: Individual
Name: Scott Hanneman, PH.D., L.P
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D., L.P
Enumeration Date: Dec 30, 2014
Last Updated: Dec 30, 2014

Practice Location

Address: 3525 MONTEREY DR
City: St Louis Park
State: Minnesota
ZIP Code: 55416-5275
Phone: (952) 993-6200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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