PHOUTHDAVONE PHIMPHASONE-BRADY

AURORA, CO
NPI1821501552
Other NameNOY PHIMPHASONE-BRADY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: CO  PSYC.0005074)
Additional Taxonomies103TH0100X Psychologist, Health Service
(Licence: CO  PSYC.0005074)
Enumeration Date2017-11-16
Last Update Date2020-01-29
Business Address
Dr. PHOUTHDAVONE PHIMPHASONE-BRADY PhD
13001 E 17TH PL FL 2
AURORA, CO 80045-2570
Phone number: 303-724-1000
Mailing Address
Dr. PHOUTHDAVONE PHIMPHASONE-BRADY PhD
PO BOX 110429
AURORA, CO 80042-0429
Phone number: