Mollie Marie Hanson in Bloomington - Clinical
Mollie Marie Hanson - NPI 1952315772
Mollie Marie Hanson is a Clinical in Bloomington, Illinois. Mollie Marie Hanson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mollie Marie Hanson is 1952315772. The last update date is 2007-07-08.
Mollie Marie Hanson's current location address is 2502 E Empire, Bloomington, Illinois. You can contact this provider via phone number 3096637220 and fax number 3096646687. The mailing address for Mollie Marie Hanson is 2502 E Empire, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mollie Marie Hanson |
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Address | 2502 E Empire, Bloomington, Illinois |
Phone Number | 3096637220 |
Fax Number | 3096646687 |
Sole Proprietor | N |
Credentials | PSYD |
NPI Number Detail
NPI Number | 1952315772 |
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Provider Enumeration Date | 2006-07-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2502 E Empire |
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City | Bloomington |
State | Illinois (IL) |
Post Code | 61704 |
Phone Number | 3096637220 |
Fax Number | 3096646687 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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112584 | IL | HEALTH ALLIANCE |
Post Comment/ Review Below
Where is the Mollie Marie Hanson located?
The Mollie Marie Hanson is located at 2502 E Empire, Bloomington, IL 61704.
Could you please provide the complete physical location address of Mollie Marie Hanson?
The Mollie Marie Hanson is physically situated at 2502 E Empire, in the city of Bloomington, state of IL, with the postal code 61704.
What is the Mollie Marie Hanson's specialty and taxonomy code?
The Mollie Marie Hanson's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
What is the area of specialization for Mollie Marie Hanson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mollie Marie Hanson is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952315772 to Mollie Marie Hanson?
The Mollie Marie Hanson received its 1952315772 assignment from the Centers for Medicare & Medicaid Services on 2006-07-28.
NPI Number: 1063415297
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