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Contact Information

TAMMI VACHA HAASE, PHD
1236 E ELIZABETH ST
SUITE 2
FORT COLLINS, CO80524-4000
 Phone: 970-488-1668
 Fax: 970-472-9381
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TAMMI VACHA HAASE · (Female)

NPI # 1447362009
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/31/2006
Last updated 04/29/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CO License # PSY.0002341
  • CO Medicaid 51935589
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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