Hanson, Ellen M

Hanson, Ellen M is an individual health care provider with primary practice located at 300 Longwood Ave Children'S Hospital Developmental Medicine Center, Boston MA 02043. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Group Psychotherapy. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Hanson, Ellen M can be contacted via phone (617) 355-4212.

Contact Information

Primary practice address
300 Longwood Ave Children'S Hospital Developmental Medicine Center Boston MA 02043
Phone: (617) 355-4212
Fax: (617) 730-0252
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 8561 Massachusetts
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8561 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 8561 Massachusetts
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X

Profile Details

NPI number 1336257062
LBN Legal business name Hanson, Ellen M
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Jul 8th, 2007 - about 18 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 1336257062 NPPES
Massachusetts Other W06527 BLUE CROSS BLUE SHEILD

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