| 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 |