Hanson, Casey Ann

Hanson, Casey Ann is an individual health care provider with primary practice located at W6240 Communication Ct Ste 2 , Appleton WI 54914-8549. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Hanson, Casey Ann can be contacted via phone (203) 640-7479.

Contact Information

Primary practice address
W6240 Communication Ct Ste 2 Appleton WI 54914-8549
Phone: (203) 640-7479
Fax: (920) 364-0747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3646-125 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2798 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2798-057 Wisconsin

Profile Details

NPI number 1336331248
LBN Legal business name Hanson, Casey Ann
Credentials PH.D., LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2007
Last updated Nov 6th, 2023 - about last year

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 1336331248 NPPES
Wisconsin MEDICAID 41000400

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