Provider Demographics
NPI:1356580286
Name:MAILANDER, KATHLEEN (MA)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:MAILANDER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:
Other - Last Name:KROPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:211 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-3168
Mailing Address - Country:US
Mailing Address - Phone:970-522-4549
Mailing Address - Fax:970-522-4211
Practice Address - Street 1:127 E DENVER ST STE E
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:CO
Practice Address - Zip Code:80734-1513
Practice Address - Country:US
Practice Address - Phone:970-522-4549
Practice Address - Fax:970-522-4211
Is Sole Proprietor?:No
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health