Provider Demographics
NPI:1972646131
Name:DELANEY, COLLEEN (LAC, CHT)
Entity Type:Individual
Prefix:MS
First Name:COLLEEN
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:LAC, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 HUMBOLDT RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-9115
Mailing Address - Country:US
Mailing Address - Phone:530-345-7735
Mailing Address - Fax:
Practice Address - Street 1:1550 HUMBOLDT RD
Practice Address - Street 2:SUITE 7
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-9115
Practice Address - Country:US
Practice Address - Phone:530-345-7735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA 3787171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist