Organization · Type 2 NPI

Carol Hathaway-Clark, Ph.d., LLC

Community/Behavioral Health Agency · Boulder, CO

NPI number 1558595181 Active

Practice location

3393 Iris Ave Ste 104
Boulder, CO 80301-1956

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	1789 (CO)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1558595181

Carol Hathaway-Clark, Ph.d., LLC's National Provider Identifier is 1558595181, issued on May 11, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Boulder, CO. The record was last updated on May 11, 2009.