NPI | 1790224327 |
---|---|
Former Legal Business Name | CYNTHIA L DIVINO, PH.D. |
Entity Type | Organization |
Authorized Contact | CYNTHIA L DIVINO Director 303-440-8810 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0001359) |
Additional Taxonomies | 103T00000X Psychologist (Licence: CO PSY.0001359) |
Enumeration Date | 2017-02-15 |
Last Update Date | 2017-02-15 |