Most Relevant Information
Provider Data
NPI Number: | 1003035007 |
Provider Name: | MARY SUSAN HANSEN MD |
Entity Type: | Individual |
Taxonomy Code: | 2084P0800X |
Specialty: | Psychiatry & Neurology |
License Number: | G058615 |
Most Important Dates
Enumeration Date: | 04/25/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
295 FELL ST
SUITE A
SAN FRANCISCO
CA
941025147
Practice Location Phone/Fax
Phone: | 4156483291 |
Fax: |
Provider Mailing Location
295 FELL ST
SUITE A
SAN FRANCISCO
CA
941025147
Provider Mailing Phone/Fax
Phone: | |
Fax: |
Suggested EMR
Psychiatry EMR