Provider Demographics
NPI:1174017891
Name:GAMEPLAN THERAPY INC
Entity Type:Organization
Organization Name:GAMEPLAN THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HAIDER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:303-747-5855
Mailing Address - Street 1:2443 S UNIVERSITY BLVD STE 115
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5407
Mailing Address - Country:US
Mailing Address - Phone:303-747-5855
Mailing Address - Fax:
Practice Address - Street 1:2443 S UNIVERSITY BLVD STE 115
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5407
Practice Address - Country:US
Practice Address - Phone:303-747-5855
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-16
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY24600103T00000X
COPSY.0004811103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty