Provider Demographics
NPI:1902383003
Name:THE ZARLENGO FOUNDATION LEARNING EVALUATION CENTER AT HAVERN SCHOOL
Entity Type:Organization
Organization Name:THE ZARLENGO FOUNDATION LEARNING EVALUATION CENTER AT HAVERN SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP
Authorized Official - Phone:303-986-4587
Mailing Address - Street 1:4000 S WADSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1308
Mailing Address - Country:US
Mailing Address - Phone:303-986-4587
Mailing Address - Fax:
Practice Address - Street 1:4000 S WADSWORTH BLVD
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-1308
Practice Address - Country:US
Practice Address - Phone:303-986-4587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-23
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0004619103TC2200X
CO1550225X00000X
CO3555225X00000X
CO0002121235Z00000X
CO0002272235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty