| NPI | 1225374267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY RENEE SIGEL Psychologist 303-794-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 2056) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2016-12-21 |