Provider Demographics
NPI:1114029063
Name:HANSON, BARBARA ANN (PHD LP)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ANN
Last Name:HANSON
Suffix:
Gender:F
Credentials:PHD LP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:900 LONG LAKE RD
Mailing Address - Street 2:SUITE 320 ARDEN WOODS PSYCHOLOGICAL SERVICES
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55112-6428
Mailing Address - Country:US
Mailing Address - Phone:651-482-9361
Mailing Address - Fax:651-482-9888
Practice Address - Street 1:900 LONG LAKE RD
Practice Address - Street 2:SUITE 320 ARDEN WOODS PSYCHOLOGICAL SERVICES
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55112-6428
Practice Address - Country:US
Practice Address - Phone:651-482-9361
Practice Address - Fax:651-482-9888
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNLP1779103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical