Healthcare Provider Details

I. General information

NPI: 1285769729
Provider Name (Legal Business Name): ERIN COLLEEN HALEY M.A.PSY L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9485 W COLFAX AVE
LAKEWOOD CO
80215-3918
US

IV. Provider business mailing address

9485 W COLFAX AVE
LAKEWOOD CO
80215-3918
US

V. Phone/Fax

Practice location:
  • Phone: 303-432-5210
  • Fax: 303-432-5260
Mailing address:
  • Phone: 303-432-5210
  • Fax: 303-432-5260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number3367
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: