One Haven

NPI 1144662941 - Psychologist - 103TC2200X

NPI Details
NPI 1144662941
Enumeration Date 07/22/2013
Last Updated 07/22/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name COLLEEN COLLEEN
Position CEO/CLINICAL PSYCHOLOGIST
Phone (801) 355-3554
Fax (801) 355-3711
Practice Location
160 S 1000 E
SUITE 210
SALT LAKE CITY UT, 84102-1428, US
Phone (801) 355-3554
Fax (801) 355-3711
Business Location
160 S 1000 E
SUITE 210
SALT LAKE CITY UT, 84102-1428, US
Phone (801) 355-3554
Fax (801) 355-3711
Toxanomy
Taxonomy Code 103TC2200X
License State
License Number
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According to our database, One Haven NPI is 1144662941, taxonomy code is 103TC2200X One Haven physically located at 160 S 1000 E, Salt Lake City UT, 84102-1428. NPI Number 1033115704 has the healthcare provider type.

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1144662941 NPI number is provided on an as is basis without warranty of any kind. 1144662941 is maintained by the National Plan & Provider Enumeration System. The contents of One Haven are for informational purposes only.