MEDICARE: ANNA HALLINAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SWC.0000001290	CO

General Provider Information

NPI Number	:	1598515645
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNA HALLINAN

Provider Business Mailing Address
First Line	:	9975 WADSWORTH PKWY, UNIT K2
Second Line	:	PMB 181
City	:	WESTMINSTER
State	:	CO
Zip	:	80021-6814
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 RANGE ST STE 202
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-2739
Country	:	US
Telephone Number	:	720-378-8193
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2024
Last Update Date	:	03/22/2024

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Directions to “ ANNA HALLINAN ” Practice Location

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