Individual
DR. ALISSA HAYS WICKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5609 EVENING PRIMROSE LN, FORT COLLINS, CO 80528-6900
(970) 342-1162
Mailing address
5609 EVENING PRIMROSE LN, FORT COLLINS, CO 80528-6900
(970) 342-1162
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY.0004045
CO
103T00000X
Psychologist
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821031956
GROUP MEMBER NATHIONAL PROVIDER IDENTIFIER
CO
Enumeration date
06/14/2006
Last updated
06/11/2025
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