Provider Demographics
NPI:1023552296
Name:HADLEY, CARMINA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:CARMINA
Middle Name:
Last Name:HADLEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:631 N WEBER ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-5002
Mailing Address - Country:US
Mailing Address - Phone:719-231-3556
Mailing Address - Fax:
Practice Address - Street 1:631 N WEBER ST
Practice Address - Street 2:SUITE 310
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-5002
Practice Address - Country:US
Practice Address - Phone:719-231-3556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CONLC 0106576101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health