Hansen, Mark P

Hansen, Mark P is an individual health care provider with primary practice located at 1360 Energy Park Dr Suite 340, Saint Paul MN 55108-5276. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Hansen, Mark P can be contacted via phone (651) 646-8985.

Contact Information

Primary practice address
1360 Energy Park Dr Suite 340 Saint Paul MN 55108-5276
Phone: (651) 646-8985
Fax: (651) 646-3959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X LP 1440 Minnesota
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP 1440 Minnesota
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X LP 1440 Minnesota

Profile Details

NPI number 1972588473
LBN Legal business name Hansen, Mark P
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Sep 24th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972588473 NPPES
Minnesota Other 42GI3HA BLUE CROSS& BLUE SHEILD
Minnesota Other 01009904 BLUE CROSS& BLUE SHEILD
Minnesota MEDICAID 643353700 BLUE CROSS& BLUE SHEILD

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