Provider Demographics
NPI:1811022817
Name:HALLIGAN, GREGG JOHN (BS)
Entity Type:Individual
Prefix:MR
First Name:GREGG
Middle Name:JOHN
Last Name:HALLIGAN
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:870 W PEAKVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-3324
Mailing Address - Country:US
Mailing Address - Phone:303-815-2670
Mailing Address - Fax:303-296-4436
Practice Address - Street 1:2100 BROADWAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-2526
Practice Address - Country:US
Practice Address - Phone:303-285-5296
Practice Address - Fax:303-296-4436
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health