| NPI | 1285147041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEV ASHISH Clinical Psychologist 719-200-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 4907) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |