Holly Hanson, PSY.D., LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5730 Issued in MN

Practice address

602 E 4TH St
Chaska, MN 55318-2102

Phone

(952) 361-1848

Fax

(952) 361-1380

NPI assigned

May 30, 2014

Last updated

May 30, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1401408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401408000000",
    "number": "1306258918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E 4TH ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182102",
            "telephone_number": "952-361-1848",
            "fax_number": "952-361-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E 4TH ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182102",
            "telephone_number": "952-361-1848",
            "fax_number": "952-361-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-30",
        "last_updated": "2014-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "5730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Lee Hagen, DDS
• Jennifer Joy Hall, CPM
• Lucas Joel Hammell, D.O.
• William James Hammes, MD
• Jennifer L Hansen, MPT
• Megan Marie Hanson, M.S., CGC
• Sandra Hanson, ATC
• Frederick Kenneth Harrison, M.S. , L.I.C.S.W.
• Hasse Chiropractic, P.a.
• David Brian Haugland, M.D.

• Psychologist in Chaska, MN
• Providers in Chaska, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.