| NPI | 1306784038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE EVAN BACON Owner/Licensed Psychologist 720-468-9654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-03-23 |