| Cheyenne Mountain Psychological Associates P.c. | |
|
1830 Parkview Blvd Colorado Springs CO 80905-7629 | |
| (719) 635-3453 | |
| Not Available |
| Full Name | Cheyenne Mountain Psychological Associates P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1830 Parkview Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Raye Lynne Dippel (OWNER) |
| Authorized Official Contact | 7196353453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheyenne Mountain Psychological Associates P.c. 1830 Parkview Blvd Colorado Springs CO 80905-7629 Ph: (719) 635-3453 | Cheyenne Mountain Psychological Associates P.c. 1830 Parkview Blvd Colorado Springs CO 80905-7629 Ph: (719) 635-3453 |
| NPI Number | 1629410485 |
|---|---|
| Provider Enumeration Date | 07/22/2013 |
| Last Update Date | 12/12/2014 |
| Medicare PECOS PAC ID | 7911220884 |
|---|---|
| Medicare Enrollment ID | O20141229001353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629410485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2065 (Colorado) | Primary |
| Provider Name | Raye Lynne Dippel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912958646 PECOS PAC ID: 3779569140 Enrollment ID: I20040625001130 |
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