| Tammi Vacha Haase Phd Llc | |
|
2553 Barry Ln Fort Collins CO 80524-9366 | |
| (970) 689-6868 | |
| (970) 472-9381 |
| Full Name | Tammi Vacha Haase Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2553 Barry Ln, Fort Collins, Colorado |
| Authorized Official Name and Position | Tammi Vacha-haase (CEO/PRESIDENT) |
| Authorized Official Contact | 9706896868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tammi Vacha Haase Phd Llc 1236 E Elizabeth St Suite 2 Fort Collins CO 80524-4000 Ph: (970) 488-1668 | Tammi Vacha Haase Phd Llc 2553 Barry Ln Fort Collins CO 80524-9366 Ph: (970) 689-6868 |
| NPI Number | 1356453922 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 04/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356453922 | NPI | - | NPPES |
| CJ8674 | Other | CO | MEDICARE RR |
| 08489521 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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