David Robert Hanson in Lake Bluff - Clinical
David Robert Hanson - NPI 1225103401
David Robert Hanson is a Clinical in Lake Bluff, Illinois. David Robert Hanson practices all healthcare services and medical treatments related to Clinical. The NPI Number for David Robert Hanson is 1225103401. The last update date is 2017-02-15.
David Robert Hanson's current location address is 900 North Shore Dr., Lake Bluff, Illinois. You can contact this provider via phone number 8472956141 and fax number 8887657036. The mailing address for David Robert Hanson is 900 North Shore Dr., Lake Bluff, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Robert Hanson |
|---|---|
| Address | 900 North Shore Dr., Lake Bluff, Illinois |
| Phone Number | 8472956141 |
| Fax Number | 8887657036 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1225103401 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2017-02-15 |
Provider Mailing Address Detail
| Address | 900 North Shore Dr. |
|---|---|
| City | Lake Bluff |
| State | Illinois (IL) |
| Post Code | 600442225 |
| Phone Number | 8472956141 |
| Fax Number | 8887657036 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71006160 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4932087 | IL | BCBC |
Post Comment/ Review Below
What is the unique identification code assigned to David Robert Hanson by the Centers for Medicare & Medicaid Services?
The David Robert Hanson has been issued the NPI (National Provider Identifier) 1225103401. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the David Robert Hanson located?
The David Robert Hanson is located at 900 North Shore Dr., Lake Bluff, IL 600442225.
What is David Robert Hanson's area of expertise and its corresponding taxonomy classification?
The David Robert Hanson's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1225103401 to David Robert Hanson?
The Centers for Medicare & Medicaid Services assigned the 1225103401 to David Robert Hanson on 2006-11-22.
When was the information regarding David Robert Hanson most recently updated?
The details pertaining to the David Robert Hanson, including its address, specialty, and other relevant information, were last refreshed on 2017-02-15.