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NPI Code Detail

MEDICARE: DR. ALICIA SUSANA HANSEN PH.D PSYCHOLOGIST

MEDICARE:  DR. ALICIA SUSANA HANSEN  PH.D PSYCHOLOGIST
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 PsychologistPSB31213CA
2102L00000XPsychoanalystPSY27482CA
3103TA0700XAdult Development & Aging PsychologistPSY27482CA
4103TB0200XCognitive & Behavioral PsychologistPSY27482CA
5103G00000XClinical NeuropsychologistPSY27482CA
6103T00000XPsychologistPSY27482CA
7103TR0400XRehabilitation PsychologistPSY27482CA

General Provider Information

NPI Number : 1184792293
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALICIA SUSANA HANSEN PH.D PSYCHOLOGIST
Provider Business Mailing Address
First Line : 524 N MARYLAND AVE APT 1
Second Line :
City : GLENDALE
State : CA
Zip : 91206-2266
Country : US
Telephone Number : 213-448-2835
Fax Number :
Provider Business Practice Location Address
First Line : 524 N MARYLAND AVE APT 1
Second Line :
City : GLENDALE
State : CA
Zip : 91206-2266
Country : US
Telephone Number : 213-448-2835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 08/28/2015

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