Active NPIIndividual providerSole proprietor

Dr. Mark S Hanson, PHD

Psychologist, Clinical in Danvers, Massachusetts

NPI Number1003984386
Practice location
130 Centre St, Wadsworth Village, Hathorne House #4, Danvers, MA 01923-1400
Fax
978-777-3883
Last updated
May 24, 2021

Mark Sullivan Hanson is a Psychologist, Clinical based in Danvers, MA. Mark Sullivan Hanson practices in Danvers, MA and has the professional credentials of PHD. The NPI Number for Mark Sullivan Hanson is 1003984386 and holds a License No. 6390 (MA). The current practice location address for Mark Sullivan Hanson is 130 Centre St, Wadsworth Village, Hathorne House #4, Danvers, MA 01923-1400 and can be reached out via phone at 978-777-1088 and via fax at 978-777-3883.

Provider Profile Details

NPI Number
1003984386
Provider Name
Mark Sullivan Hanson
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
130 Centre St, Wadsworth Village, Hathorne House #4, Danvers, MA 01923-1400
Phone Number
978-777-1088
Fax Number
978-777-3883
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 2, 2006
Last Update Date
May 24, 2021
Certification Date
May 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Centre St
Wadsworth Village, Hathorne House #4
Danvers, MA 01923-1400
Zip
01923-1400
Phone Number
978-777-1088
Fax Number
978-777-3883
Danvers, MA 01923Get directions →

Provider Business Mailing Address Details

Address
130 Centre St
School House 101A
Danvers, MA 01923-1400
City
Danvers
State
MA
Zip
01923-1400
Phone Number
978-777-1088
Fax Number
978-777-3883

License Information

License Number
6390
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mark S Hanson, PHD?

The NPI number of Dr. Mark S Hanson, PHD is 1003984386. It was assigned on December 2, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark S Hanson, PHD?

Dr. Mark S Hanson, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 6390.

Where does Dr. Mark S Hanson, PHD practice?

The practice location is 130 Centre St, Wadsworth Village, Hathorne House #4, Danvers, MA 01923-1400. The office can be reached at 978-777-1088 (phone) or 978-777-3883 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003984386 directly on the NPPES registry website.

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