Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | LH00009036 | WA |
NPI | 1235350612 |
---|---|
Provider Name | Ms. Dina F. Hansen |
First Address | Issaquah, WA 98027-5394 |
Second Address | Bellevue, WA 98004-6956 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 08/07/2007 |