Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY0004810 | CO |
Y | 103T00000X | Psychologist | PSY0004810 | CO |
N | 102L00000X | Psychologist | PSY28369 | CA |
N | 103T00000X | Psychologist | PSY28369 | CA |
NPI | 1003241480 |
---|---|
Provider Name | Dr. Claudia Hartke |
First Address | Boulder, CO 80304-1161 |
Second Address | Boulder, CO 80301-5550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2013 |
Last Update Date | 07/02/2020 |