1093814832 NPI number — DR. CHRISTINE ANNE MASLIN-COLE PH.D.

Table of content: DR. CHRISTINE ANNE MASLIN-COLE PH.D. (NPI 1093814832)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1093814832 NPI number — DR. CHRISTINE ANNE MASLIN-COLE PH.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MASLIN-COLE
Provider First Name:
CHRISTINE
Provider Middle Name:
ANNE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1093814832
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 BOARDWALK DR UNIT 5A
Provider Second Line Business Mailing Address:
STRESS MANAGEMENT FAMILY COUNSELING CENTER
Provider Business Mailing Address City Name:
FORT COLLINS
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80525-3093
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
970-223-2256
Provider Business Mailing Address Fax Number:
970-223-2324

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 BOARDWALK DR UNIT 5A
Provider Second Line Business Practice Location Address:
STRESS MANAGEMENT FAMILY COUNSELING CENTER
Provider Business Practice Location Address City Name:
FORT COLLINS
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80525-3093
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
970-223-2256
Provider Business Practice Location Address Fax Number:
970-223-2324
Provider Enumeration Date:
09/21/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PSY-2928 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 103TC2200X , with the licence number: PSY-2928 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 106H00000X , with the licence number: MFT-550 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)