Organization
CAROL HATHAWAY-CLARK, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL HATHAWAY-CLARK PH.D. (CLINICAL PSYCHOLOGIST)
(303) 440-0295
Entity
Organization
Contact information
Practice address
3393 IRIS AVE STE 104, BOULDER, CO 80301-1956
(303) 440-0295
Mailing address
3393 IRIS AVE STE 104, BOULDER, CO 80301-1956
(303) 440-0295
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1789
CO
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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