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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821031956 NPPES
Colorado Other 1821031956 GROUP MEMBER NATHIONAL PROVIDER IDENTIFIER

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