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Individual

DR. TAMMI VACHA-HAASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1236 E ELIZABETH ST, SUITE 2, FORT COLLINS, CO 80524-4000
(970) 488-1668
(970) 472-9381
Mailing address
1236 E ELIZABETH ST, SUITE 2, FORT COLLINS, CO 80524-4000
(970) 488-1668
(970) 472-9381

Taxonomy

Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
PSY.0002341
CO
103TC0700X
Clinical Psychologist
PSY.0002341
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51935589
CO
Enumeration date
08/31/2006
Last updated
04/29/2013
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