Individual
DR. KATHRINE MARIE HAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
905 15TH AVE, LONGMONT, CO 80501-2715
(360) 903-8547
Mailing address
905 15TH AVE, LONGMONT, CO 80501-2715
(360) 903-8547
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-14-15371
CO
103T00000X
Psychologist
Primary
3941
CO
Other
Enumeration date
03/27/2013
Last updated
06/11/2019
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