Provider Demographics
NPI:1861660730
Name:MARIAN E. CRAIG, PH.D., P.C
Entity type:Organization
Organization Name:MARIAN E. CRAIG, PH.D., P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:CRAIG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-756-5771
Mailing Address - Street 1:1805 S BELLAIRE ST
Mailing Address - Street 2:SUITE 380
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4305
Mailing Address - Country:US
Mailing Address - Phone:303-756-5771
Mailing Address - Fax:303-756-6645
Practice Address - Street 1:1805 S BELLAIRE ST
Practice Address - Street 2:SUITE 380
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4305
Practice Address - Country:US
Practice Address - Phone:303-756-5771
Practice Address - Fax:303-756-6645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1979251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health