Individual
DR. CAROL HATHAWAY-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3393 IRIS AVE STE 104, BOULDER, CO 80301-1956
(303) 440-0295
(303) 530-9543
Mailing address
3393 IRIS AVE STE 104, BOULDER, CO 80301-1956
(303) 440-0295
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1789
CO
Other
Enumeration date
10/03/2007
Last updated
02/20/2019
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