Provider Demographics
NPI:1356553366
Name:HANSS, WALTER JOSEPH
Entity type:Individual
Prefix:
First Name:WALTER
Middle Name:JOSEPH
Last Name:HANSS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:WALTER
Other - Middle Name:J
Other - Last Name:HANSS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LMFT
Mailing Address - Street 1:109 COOLWAY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-2201
Mailing Address - Country:US
Mailing Address - Phone:210-545-1297
Mailing Address - Fax:210-822-2144
Practice Address - Street 1:600 OBLATE DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-7326
Practice Address - Country:US
Practice Address - Phone:210-824-8879
Practice Address - Fax:210-822-2144
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2295101YP2500X
TX1856106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist