Provider Demographics
NPI:1093976789
Name:HANSON, JOSHUA ARMAND (MA)
Entity Type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:ARMAND
Last Name:HANSON
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 ADAMS ST
Mailing Address - Street 2:APT 1
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-4446
Mailing Address - Country:US
Mailing Address - Phone:617-640-3192
Mailing Address - Fax:
Practice Address - Street 1:78 ADAMS ST
Practice Address - Street 2:APT 1
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-4446
Practice Address - Country:US
Practice Address - Phone:617-640-3192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health