| NPI | 1760016299 |
|---|---|
| Doing Business As | VIVE PSYCH |
| Entity Type | Organization |
| Authorized Contact | JENNIE CLEVELAND Director 970-471-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TE1100X Psychologist, Exercise & Sports | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2024-04-19 |