NPI 1083123574
Nicole Cerutti Yazdi, MARDMTLCATLP
Practice location
- Address
- 1150 Maxwell Ave STE 200, Boulder, CO 80304-4185
- Phone
- (800) 261-0127
Registered specialties (2)
Dance Therapist
Primary
Mental Health Counselor
Registry record
- NPI
- 1083123574
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Sep 2017
- Record last updated
- 17 Mar 2018
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.