Carol Hathaway-Clark, Ph.D., Llc

LBN: Carol Hathaway-Clark, Ph.D., Llc
Carol Hathaway-Clark, Ph.D., Llc is an health care organization with primary practice located at 3393 Iris Ave Ste 104 , Boulder CO 80301-1956. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Carol Hathaway-Clark, Ph.D., Llc can be contacted via phone (303) 440-0295, or through Hathaway-Clark, Carol via phone (303) 440-0295.

Contact Information

Primary practice address
3393 Iris Ave Ste 104 Boulder CO 80301-1956
Phone: (303) 440-0295
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hathaway-Clark, Carol PH.D.
Phone: (303) 440-0295

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1789 Colorado

Profile Details

NPI number 1558595181
LBN Legal business name Carol Hathaway-Clark, Ph.D., Llc
DBA Doing business as
Authorized official Hathaway-Clark, Carol PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2009
Last updated May 11th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers