NPI 1003217019
Clinical Psychologist PLLC
Practice location
- Address
- 90 Madison St Suite 402, Denver, CO 80206-5418
- Phone
- (720) 272-0565
Authorised official
- Name
- Pepe Santana
- Title
- Ceo
- Phone
- (720) 272-0565
Registered specialties
Clinical Psychologist
Primary
Registry record
- NPI
- 1003217019
- Entity type
- Organization
- NPI issued
- 9 Sep 2014
- Record last updated
- 9 Sep 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.