Provider Demographics
NPI:1710185806
Name:HANSEN, DAVID JAMES (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JAMES
Last Name:HANSEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7510 CARDWELL CIR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68523
Mailing Address - Country:US
Mailing Address - Phone:402-420-7310
Mailing Address - Fax:
Practice Address - Street 1:325 BURNETT HALL
Practice Address - Street 2:UNIVERSITY OF NEBRASKA LINCOLN
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68588-0311
Practice Address - Country:US
Practice Address - Phone:402-472-2351
Practice Address - Fax:402-472-6804
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE302103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical