| Doctor Name: | ROBERT KEITH HANSEN |
| NPI Number: | 1851548242 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | PS1253 |
| Business Practice Address: | 88 Fox St Suite 101 Madawaska, ME - 047561352 |
| Business Phone Number: | 2077286341 |
| Business Fax Number: | 2077287762 |
| Mailing Address: | 88 Fox St, Suite 101 MADAWASKA |
| State: | ME |
| Postal Code: | 047561352 |
| Phone Number: | 2077286341 |
| Fax Number: | 2077287762 |
| NPI Enumeration Date: | 08/27/2008 |
| NPI Last Update Date: | 02/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS1253 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |