Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 3255 | CO |
NPI | 1124143458 |
---|---|
Provider Name | Dr. Alyssa Oland |
First Address | Denver, CO 80230-7198 |
Second Address | Denver, CO 80230-7198 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 23/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
79606253 | (05) | CO |