| NPI | 1558480137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT CORCORAN Clinical Psychologist Owner 970-416-8626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO C01498) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-02-22 |