| NPI | 1568842821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH E. COE Licensed Clinical Psychologist 303-704-7835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO PSY3904) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO PSY3904) |
| 103TC0700X Psychologist, Clinical (Licence: CO PSY3904) | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |