Hanson, Theressa J
Hanson, Theressa J is an individual health care provider with primary practice located at 1701 Burnt Boat Dr Second Floor, Bismarck ND 58503-0812. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Hanson, Theressa J can be contacted via phone (701) 323-0924.Contact Information
Primary practice address
1701 Burnt Boat Dr Second Floor
Bismarck ND 58503-0812
Phone: (701) 323-0924
Fax: (701) 323-0935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 370 | North Dakota |
Profile Details
| NPI number | 1831243088 |
|---|---|
| LBN Legal business name | Hanson, Theressa J |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jan 28th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831243088 | NPPES |
| North Dakota | MEDICAID | 12974 | |
| North Dakota | Other | P00189591 | |
| North Dakota | Other | HAN27931 |
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