Klaif, Phyllis

Klaif, Phyllis is an sole proprietor health care provider with primary practice located at 1333 Iris Ave , Boulder CO 80304-2226. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Klaif, Phyllis can be contacted via phone (303) 443-8500.

Contact Information

Primary practice address
1333 Iris Ave Boulder CO 80304-2226
Phone: (303) 443-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 6382 Colorado
Behavioral Health & Social Service Providers / Clinical 1041C0700X 989162 Colorado

Profile Details

NPI number 1659422269
LBN Legal business name Klaif, Phyllis
Credentials LCSW, CACIII
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2007
Last updated Apr 2nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659422269 NPPES
Colorado MEDICAID 59635568

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