Healthcare Provider Details

I. General information

NPI: 1902383003
Provider Name (Legal Business Name): THE ZARLENGO FOUNDATION LEARNING EVALUATION CENTER AT HAVERN SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2018
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 S WADSWORTH BLVD
LITTLETON CO
80123-1308
US

IV. Provider business mailing address

4000 S WADSWORTH BLVD
LITTLETON CO
80123-1308
US

V. Phone/Fax

Practice location:
  • Phone: 303-986-4587
  • Fax:
Mailing address:
  • Phone: 303-986-4587
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY.0004619
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1550
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3555
License Number StateCO
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number0002121
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number0002272
License Number StateCO

VIII. Authorized Official

Name: COURTNEY TOLINSKI
Title or Position: DIRECTOR
Credential: PH.D., LP
Phone: 303-986-4587