NPI | 1376057695 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SHANLEY Owner, Psychologist 720-515-1637 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0004360) |
Enumeration Date | 2017-11-22 |
Last Update Date | 2022-08-23 |