Hanson, Gary D

Hanson, Gary D is an individual health care provider with primary practice located at 7200 Hemlock Ln N Suite 108 , Maple Grove MN 55369-5576. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Hanson, Gary D can be contacted via phone (763) 533-5339.

Contact Information

Primary practice address
7200 Hemlock Ln N Suite 108 Maple Grove MN 55369-5576
Phone: (763) 533-5339
Fax: (763) 390-0862
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1241 Minnesota

Profile Details

NPI number 1215927066
LBN Legal business name Hanson, Gary D
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Oct 27th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215927066 NPPES
Minnesota Other 1241 LMFT LICENSE NUMBER
Minnesota MEDICAID 697608500 LMFT LICENSE NUMBER
Minnesota Other 107643 LMFT LICENSE NUMBER
Minnesota Other 62-90571 LMFT LICENSE NUMBER
Minnesota Other 337M8HA LMFT LICENSE NUMBER

Popular Providers