Provider Demographics
NPI:1588959274
Name:MAPLES, LAUREN A (PHD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:A
Last Name:MAPLES
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 1:343 W DRAKE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-6317
Mailing Address - Country:US
Mailing Address - Phone:970-430-6615
Mailing Address - Fax:970-482-7300
Practice Address - Street 1:343 W DRAKE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-6317
Practice Address - Country:US
Practice Address - Phone:970-430-6615
Practice Address - Fax:970-482-7300
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY-3995103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling