Individual
CARLA V PALLARES HUTCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
80 GARDEN CTR STE 156, BROOMFIELD, CO 80020-1790
(970) 691-4455
Mailing address
1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
(970) 691-4455
(303) 665-3397
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY.0003789
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY.0003789
CO LICENSE
CO
Enumeration date
07/29/2013
Last updated
11/01/2022
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