Provider Demographics
NPI:1013311810
Name:MCLAREN, MOLLY (PHD)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:
Last Name:MCLAREN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4216 SUNCREST CT
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-5625
Mailing Address - Country:US
Mailing Address - Phone:970-235-2072
Mailing Address - Fax:
Practice Address - Street 1:4216 SUNCREST CT
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-5625
Practice Address - Country:US
Practice Address - Phone:970-235-2072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist