Provider Demographics
NPI:1588020143
Name:HANSON, MORGAN
Entity type:Individual
Prefix:
First Name:MORGAN
Middle Name:
Last Name:HANSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E5860 MISSALL LN
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:WI
Mailing Address - Zip Code:54950-9770
Mailing Address - Country:US
Mailing Address - Phone:715-863-1323
Mailing Address - Fax:
Practice Address - Street 1:E5860 MISSALL LN
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:WI
Practice Address - Zip Code:54950-9770
Practice Address - Country:US
Practice Address - Phone:715-863-1323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-12
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst