Individual provider · Type 1 NPI

Susan Hansen, M.ED.

Developmental Therapist · Ponderay, ID

NPI number 1801256227 Active

Practice location

207 Larkspur St
Ponderay, ID 83852-5011

Fax (208) 263-4198

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1801256227

Susan Hansen, M.ED.'s National Provider Identifier is 1801256227, issued on Feb 26, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Ponderay, ID. The record was last updated on Feb 26, 2016.