Susan Hansen, M.ED.

NPI #1801256227 in Ponderay, Idaho

Provider Information

NPI Number: 1801256227
Entity Type: Individual
Name: Susan Hansen, M.ED.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: M.ED.
Enumeration Date: Feb 26, 2016
Last Updated: Feb 26, 2016

Practice Location

Address: 207 LARKSPUR ST
City: Ponderay
State: Idaho
ZIP Code: 83852-5011
Phone: (208) 255-3304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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