Wicklund, Alissa Hays
Wicklund, Alissa Hays is an individual health care provider with primary practice located at 2500 E Prospect Rd , Fort Collins CO 80525-9718. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Wicklund, Alissa Hays can be contacted via phone (773) 818-0669.Contact Information
Primary practice address
2500 E Prospect Rd
Fort Collins CO 80525-9718
Phone: (773) 818-0669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | PSY.0004045 | Colorado |
Profile Details
| NPI number | 1821031956 |
|---|---|
| LBN Legal business name | Wicklund, Alissa Hays |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Dec 16th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821031956 | NPPES |
| Colorado | Other | 1821031956 | GROUP MEMBER NATHIONAL PROVIDER IDENTIFIER |
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