| Doctor Name: | MR. DENNIS A HANSEN |
| NPI Number: | 1518183813 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S.W., L.C.S.W. |
| License Number: | 127234-3501 |
| Business Practice Address: | 55 S 500 E Heber City, UT - 840321918 |
| Business Phone Number: | 4356753226 |
| Business Fax Number: | 4356540309 |
| Mailing Address: | 1073 E 1200 N, OREM |
| State: | UT |
| Postal Code: | 840975449 |
| Phone Number: | 8012268223 |
| Fax Number: | 8012275040 |
| NPI Enumeration Date: | 04/17/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 127234-3501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |