| NPI | 1407913254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIS BRIAN POTTER President, Psychologist 303-693-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 103TF0200X Psychologist, Forensic | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103T00000X Psychologist | |
| 103T00000X Psychologist (Licence: CO 317) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |