| NPI | 1376974121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI GOTTLIEB Credentialing Manager 303-716-8013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO 46585) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |