Organization
BEFULLYALIVE PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAUDIA HARTKE PHD (OWNER)
(408) 997-1866
Entity
Organization
Contact information
Practice address
3005 47TH ST STE F4, BOULDER, CO 80301-5550
(408) 997-1866
Mailing address
3980 BROADWAY ST STE 103 PMB 153, BOULDER, CO 80304
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000180481
—
CO
Enumeration date
03/24/2021
Last updated
03/24/2021
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