Doctor Name: | MRS. GAYNA PATRICIA HANSEN |
NPI Number: | 1114144714 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A |
License Number: | MH8377 |
Business Practice Address: | 96 Willard St 1127 S.patrick Dr; Satellite Beach, Fl 32937 Cocoa, FL - 329227991 |
Business Phone Number: | 3216380027 |
Business Fax Number: | 3216380115 |
Mailing Address: | 1202 Winding Meadows Rd, ROCKLEDGE |
State: | FL |
Postal Code: | 329558408 |
Phone Number: | 3214332491 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 04/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH8377 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |