| Boulder Valley Psychotherapy Inc. | |
|
400 E Simpson St. #104 Lafayette CO 80026-2359 | |
| (720) 591-6444 | |
| Not Available |
| Full Name | Boulder Valley Psychotherapy Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 400 E Simpson St. #104, Lafayette, Colorado |
| Authorized Official Name and Position | Heather T Whittall (PRESIDENT/PSYCHOLOGIST) |
| Authorized Official Contact | 7205914664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boulder Valley Psychotherapy Inc. 400 E Simpson St. #104 Lafayette CO 80026-2359 Ph: (720) 591-6444 | Boulder Valley Psychotherapy Inc. 400 E Simpson St. #104 Lafayette CO 80026-2359 Ph: (720) 591-6444 |
| NPI Number | 1407347487 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 03/16/2021 |
| Certification Date | 03/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407347487 | NPI | - | NPPES |
| 79600573 | Medicaid | CO |
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