Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PSY-2928 | CO |
N | 103TC0700X | Clinical Psychologist | PSY-2928 | CO |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | PSY-2928 | CO |
NPI | 1093814832 |
---|---|
Provider Name | Dr. Christine Anne Maslin-Cole |
First Address | Fort Collins, CO 80525-3093 |
Second Address | Fort Collins, CO 80525-3093 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 08/07/2007 |