David E Hansen, PH.D, PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

DAVID E HANSEN, PH.D, PC

Practice address

5512 S Lewis Ave Ste 8
Tulsa, OK 74105-7140

Phone

(918) 712-9004

NPI assigned

Dec 28, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emge Hansen

Title

Office Manager

Phone

(918) 712-9004

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1154837185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 S LEWIS AVE STE 8",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 S LEWIS AVE STE 8",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057140",
            "telephone_number": "918-712-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID E HANSEN, PH.D, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "EMGE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-712-9004"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Neuropsychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.