NPI | 1679002612 |
---|---|
Former Legal Business Name | PINWHEEL PSYCHOLOGICAL SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | JENNIFER MARIE HILL Licensed Psychologist 719-208-6331 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: CO 4575) |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO 4575) |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CO 4575) | |
103TS0200X Psychologist, School (Licence: CO 4575) | |
Enumeration Date | 2017-06-04 |
Last Update Date | 2022-04-12 |