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Contact Information

TERESA M HAYNES, PSYCHOLOGIST
LEADVILLE PROFESSIONAL BUILDING
735 HWY 24 SOUTH, SUITE B
LEADVILLE, CO80461
 Phone: 970-389-0621
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Professional

101YP2500X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TERESA M HAYNES · (Female)

NPI # 1467481309
Status Active
Credentials PSYCHOLOGIST
Entity Individual
Enumeration date 07/02/2006
Last updated 05/14/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 3965
  • CO License # 4020
  • CO License # PSY.0003956
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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