| NPI | 1023527454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KEORTGE COOK Clinical Psychologist 303-205-8491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CO 2696) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2017-09-28 |