Individual provider · Type 1 NPI
Michael H. Hansen, PSYD
Prescribing (Medical) Psychologist · Chicago, IL
Practice location
3860 W Ogden Ave
Chicago, IL 60623-2460
Fax (773) 843-2704
Mailing address
5001 HIGHWAY190, Suite B1
Covington, LA 70433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist Primary | 103TP0016X | MP.0017 (LA) |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
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About NPI 1417994690
Michael H. Hansen, PSYD's National Provider Identifier is 1417994690, issued on May 31, 2006. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Chicago, IL. The record was last updated on May 1, 2012.