Provider Demographics
NPI:1629396767
Name:MCFARLIN, TINA L (MSW & CNC)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:L
Last Name:MCFARLIN
Suffix:
Gender:F
Credentials:MSW & CNC
Other - Prefix:
Other - First Name:TINA
Other - Middle Name:L
Other - Last Name:ULATOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW & CNC
Mailing Address - Street 1:12744 W. BOWLES PLACE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127
Mailing Address - Country:US
Mailing Address - Phone:303-495-4514
Mailing Address - Fax:
Practice Address - Street 1:12744 W. BOWLES PLACE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127
Practice Address - Country:US
Practice Address - Phone:303-495-4514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-13
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No133N00000XDietary & Nutritional Service ProvidersNutritionist