SUSAN HANSEN NPI 1073675310

NPI Information

NPI: 1073675310
Provider Name: SUSAN HANSEN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
211 N COMMERCIAL ST
NEENAH, WI
ZIP 54956
Phone: (920) 236-4600
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Susan Hansen is a mental health counselor in Neenah, WI. Susan Hansen NPI is 1073675310. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

211 N COMMERCIAL ST
NEENAH, WI
ZIP 54956-616
Phone: (920) 236-4600

The enumeration date for this NPI number is 12/14/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	3234-120	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	42156000	MEDICAID	WISCONSIN
2	42139300	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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