| NPI | 1497064984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH D. ALLRED Clinical Psychologist 719-590-6005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 1533) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |