Healthcare Provider Details

I. General information

NPI: 1952323248
Provider Name (Legal Business Name): INGE MARGRETHE HANSEN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 DANZIG PLZ SUITE 100
CONCORD CA
94520-7979
US

IV. Provider business mailing address

1410 DANZIG PLZ SUITE 100
CONCORD CA
94520-7979
US

V. Phone/Fax

Practice location:
  • Phone: 925-685-9463
  • Fax: 925-685-9682
Mailing address:
  • Phone: 925-685-9463
  • Fax: 925-685-9682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY18863
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY18863
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: