Mark Sullivan Hanson, PHD

Clinical Psychologist · Danvers, MA

Individual Active NPI

NPI number 1003984386

Practice location

130 Centre St
Wadsworth Village, Hathorne House #4
Danvers, MA 01923-1400
Phone
(978) 777-1088
Fax
(978) 777-3883

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NPI record

NPI
1003984386
Entity type
Individual (Type 1)
Enumeration date
December 2, 2006
Last updated
May 24, 2021
Certified
May 24, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 6390 MA

Mailing address

130 Centre St
School House 101a
Danvers, MA 01923-1400
Phone
(978) 777-1088
Fax
(978) 777-3883

About Dr. Hanson

Mark Sullivan Hanson, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 130 Centre St, Wadsworth Village, Hathorne House #4, Danvers, MA 01923-1400. The NPI number 1003984386 was assigned on December 2, 2006 and the record was last updated on May 24, 2021.

Dr. Hanson lists a license in the registry: #6390 (MA) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Sullivan Hanson, PHD?

The NPI number is 1003984386.

What is the phone number of Dr. Hanson?

The phone number listed for the practice location is (978) 777-1088.

Where is Dr. Hanson located?

130 Centre St, Wadsworth Village, Hathorne House #4, Danvers, MA 01923-1400.

What is the taxonomy code for Dr. Hanson?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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