| NPI | 1407397664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE ELAINE COMBS Clinical Psychologist 970-400-1416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY0004579) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |