| Canyon Tree Psychotherapy, Llc | |
|
9351 Grant St 480 Thornton CO 80229-4358 | |
| (720) 442-4506 | |
| Not Available |
| Full Name | Canyon Tree Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9351 Grant St, Thornton, Colorado |
| Authorized Official Name and Position | Ann M Bomberg (OWNER/PRACTICTIONER) |
| Authorized Official Contact | 7204424506 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Canyon Tree Psychotherapy, Llc 11829 Ridge Pkwy 632 Broomfield CO 80021-5079 Ph: (720) 442-4506 | Canyon Tree Psychotherapy, Llc 9351 Grant St 480 Thornton CO 80229-4358 Ph: (720) 442-4506 |
| NPI Number | 1720522626 |
|---|---|
| Provider Enumeration Date | 12/12/2016 |
| Last Update Date | 12/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720522626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 993043 (Colorado) | Primary |
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