Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 2033 | CO |
Y | 103TC0700X | Clinical Psychologist | 2033 | CO |
NPI | 1003026816 |
---|---|
Provider Name | Pamela Elaine Haglund |
First Address | Denver, CO 80246-1226 |
Second Address | Denver, CO 80246-1226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |