| NPI | 1740888395 |
|---|---|
| Doing Business As | LMG PSYCHOLOGY PVB |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |