| NPI | 1720470404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE THOMAS-DUCKWITZ Owner/Mbr 719-660-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 4035) |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2021-01-22 |