Provider Demographics
NPI:1942516539
Name:TAJ, NAUMAN HANIF (MD)
Entity Type:Individual
Prefix:
First Name:NAUMAN
Middle Name:HANIF
Last Name:TAJ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:MIND OVER MATTER PSYCHOTHERAPEUTICS,PLLC
Mailing Address - Street 2:608 E HARMONY RD # 302
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-7020
Mailing Address - Country:US
Mailing Address - Phone:307-200-7383
Mailing Address - Fax:970-233-9219
Practice Address - Street 1:MIND OVER MATTER PSYCHOTHERAPEUTICS,PLLC
Practice Address - Street 2:608 E HARMONY RD # 302
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-7020
Practice Address - Country:US
Practice Address - Phone:307-773-8237
Practice Address - Fax:307-773-8013
Is Sole Proprietor?:No
Enumeration Date:2010-08-20
Last Update Date:2023-06-29
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Provider Licenses
StateLicense IDTaxonomies
WY13227C2084P0800X
CODR.00615882084P0800X
NE276542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025598700Medicaid