Basic Information
| Provider Information | |||||||||
| NPI: | 1942516539 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | TAJ | ||||||||
| FirstName: | NAUMAN | ||||||||
| MiddleName: | HANIF | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | MIND OVER MATTER PSYCHOTHERAPEUTICS,PLLC | ||||||||
| Address2: | 608 E HARMONY RD # 302 | ||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805257020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3077738237 | ||||||||
| FaxNumber: | 3077738013 | ||||||||
| Practice Location | |||||||||
| Address1: | MIND OVER MATTER PSYCHOTHERAPEUTICS,PLLC | ||||||||
| Address2: | 608 E HARMONY RD # 302 | ||||||||
| City: | FORT COLLINS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 805257020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3077738237 | ||||||||
| FaxNumber: | 3077738013 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2010 | ||||||||
| LastUpdateDate: | 08/20/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | 13227C | WY | N | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 2084P0800X | DR.0061588 | CO | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.