Provider Demographics
NPI:1043405319
Name:HANSEN, DOROTHY ELLEN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:ELLEN
Last Name:HANSEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22604 E EUCLID PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-2350
Mailing Address - Country:US
Mailing Address - Phone:303-619-3087
Mailing Address - Fax:
Practice Address - Street 1:1777 S HARRISON ST STE 800
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3933
Practice Address - Country:US
Practice Address - Phone:303-756-3002
Practice Address - Fax:303-756-2872
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2360103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical