| NPI | 1124754130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY LYNN Licensed Psychologist 720-856-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-08-01 |