Individual
PATRICIA M TAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 BOARDWALK DR, BUILDING 5A, FORT COLLINS, CO 80525-3070
(970) 223-2256
(970) 223-2324
Mailing address
300 BOARDWALK DR, BUILDING 5A, FORT COLLINS, CO 80525-3070
(970) 223-2256
(970) 223-2324
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1749
CO
103TC0700X
Clinical Psychologist
1749
CO
Other
Enumeration date
05/17/2006
Last updated
08/08/2007
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