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Contact Information

MALLORY HAGLUND
284 WEST ROCKY LANE
BOULDER, NV55114
 Phone: 681-664-5541
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for MALLORY HAGLUND · (Female)

NPI Number 1679949358
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2015
Last updated 07/18/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 1125
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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