Mallory Haglund, is a
Psychologist - Addiction (substance Use Disorder) based in Boulder, Nevada. Mallory Haglund is licensed to practice in * (Not Available) (license number ) and her current practice location is
284 West Rocky Lane, Boulder, Nevada. She can be reached at her office (for appointments etc.) via phone at
(681) 664-5541.
NPI number for Mallory Haglund is 1679949358 and her current mailing address is 3850 Las Vegas Blvd S, Las Vegas, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679949358.
Healthcare Provider's Profile
| Full Name | Mallory Haglund |
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| Gender | Female |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 284 West Rocky Lane, Boulder, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679949358
- Provider Enumeration Date: 08/17/2015
- Last Update Date: 07/18/2018
Medical Identifiers
Medical identifiers for Mallory Haglund such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679949358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 1125 (Nevada) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mallory Haglund is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mallory Haglund,
3850 Las Vegas Blvd S,
Las Vegas, NV 89109-4324
Ph: () - | Mallory Haglund,
284 West Rocky Lane,
Boulder, NV 55114
Ph: (681) 664-5541 |
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