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Dr. Michael H. Hansen, PSYD
Prescribing (Medical) Psychologist in Chicago, Illinois
NPI 1417994690

Michael H. Hansen is a Prescribing (Medical) Psychologist based in Covington, IL and is specialized in Prescribing (Medical). Michael H. Hansen practices in Chicago, IL and has the professional credentials of PSYD. The NPI Number for Michael H. Hansen is 1417994690 and holds a License No. MP.0017 (Illinois).

The current practice location address for Michael H. Hansen is 3860 W Ogden Ave, Chicago, IL and can be reached out via phone at 773-843-3000 and via fax at 773-843-2704. You can also correspond with Michael H. Hansen through the mailing address at 5001 HIGHWAY190, COVINGTON, LA - 70433 (mailing address contact number: 985-590-5744).

Location: 3860 W Ogden Ave, Chicago, IL, 70433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417994690
Provider Name
Michael H. Hansen
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
3860 W Ogden Ave, Chicago, IL, 70433
Phone Number
773-843-3000
Fax Number
773-843-2704
Provider Enumeration Date
05/31/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3860 W Ogden Ave
City
Chicago
State
Illinois
Zip
60623-2460
Phone Number
773-843-3000
Fax Number
773-843-2704
person
Provider Business Mailing Address Details
Address
5001 Highway190
City
Covington
State
Louisiana
Zip
70433
Phone Number
985-590-5744
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
MP.0017 (Louisiana)
Definition
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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