MR. Mark E Hansen, M.A.,L.P.

NPI #1629059134 in Austin, Minnesota

Provider Information

NPI Number: 1629059134
Entity Type: Individual
Name: MR. Mark E Hansen, M.A.,L.P.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Psychologist
Credential: M.A.,L.P.
Enumeration Date: Nov 10, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1403 15TH AVE NW
City: Austin
State: Minnesota
ZIP Code: 55912-1911
Phone: (507) 433-6482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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