DR. Mollie Marie Hanson, PSYD

NPI #1952315772 in Bloomington, Illinois

Provider Information

NPI Number
1952315772
Entity Type
Individual
Name
DR. Mollie Marie Hanson, PSYD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - Clinical
Credential
PSYD
Enumeration Date
Jul 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2502 E EMPIRE
Address 2
STE C MIDWEST REGIONAL PAIN CENTER
ZIP Code
61704
Phone
(309) 663-7220

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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