DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. EMMANUELLE HANSEN PSYD

MEDICARE: DR. EMMANUELLE HANSEN PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistLP6680MN
2103TC2200XClinical Child & Adolescent PsychologistLP6680MN
3103TF0000XFamily PsychologistLP6680MN
4103T00000XPsychologistLP6680MN
5103TB0200XCognitive & Behavioral PsychologistLP6680MN

General Provider Information

NPI Number : 1184200065
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EMMANUELLE HANSEN PSYD
Provider Business Mailing Address
First Line : 3625 33RD AVE S
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55406-2726
Country : US
Telephone Number : 763-607-3108
Fax Number :
Provider Business Practice Location Address
First Line : 3450 OLEARY LN
Second Line :
City : EAGAN
State : MN
Zip : 55123-2340
Country : US
Telephone Number : 651-454-0114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2021
Last Update Date : 03/22/2026

Similar Medicare Providers

1750366167 — MS. PATRICE LAUER-ROBERTS LICSW
Practice Location Address:
3450 OLEARY LN
EAGAN, MN
55123-2340
Practice Phone: 651-454-0114
Practice Fax: 651-454-3492
1457379026 — DR. RICHARD EDWIN CLOSE DMIN, MA,LICSW, LMFT
Practice Location Address:
3450 OLEARY LN
EAGAN, MN
55123-2340
Practice Phone: 651-454-0114
Practice Fax: 651-454-3492
1508968355 — ST PAUL EYE CLINIC PA
Practice Location Address:
3440 OLEARY LN
EAGAN, MN
55123-2340
Practice Phone: 651-454-3839
Practice Fax: 651-994-8867
1700987070 — DR. RICHARD JOSEPH VENJOHN PHD, LP
Practice Location Address:
3450 OLEARY LN
EAGAN, MN
55123-2340
Practice Phone: 651-454-0114
Practice Fax: 651-454-3492
1831290543 — MRS. BRITT ERIKA NYSTROMBALFE LICSW
Practice Location Address:
3450 OLEARY LN
EAGAN, MN
55123-2340
Practice Phone: 651-454-0114
Practice Fax: 651-454-3492
1144311184 — EAGAN COUNSELING CLINIC
Practice Location Address:
3450 OLEARY LN
EAGAN, MN
55123-2340
Practice Phone: 651-454-0114
Practice Fax: 651-454-3492

Directions to “ DR. EMMANUELLE HANSEN PSYD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.