| Cleckler Psychological Services, Llc | |
|
224 E Willamette Ave Colorado Springs CO 80903-1114 | |
| (719) 466-9645 | |
| (719) 448-9467 |
| Full Name | Cleckler Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 224 E Willamette Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Michelle Cleckler (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7194669645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleckler Psychological Services, Llc 409 Valley Way Colorado Springs CO 80906-3229 Ph: (719) 466-9645 | Cleckler Psychological Services, Llc 224 E Willamette Ave Colorado Springs CO 80903-1114 Ph: (719) 466-9645 |
| NPI Number | 1225267503 |
|---|---|
| Provider Enumeration Date | 07/08/2009 |
| Last Update Date | 07/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225267503 | NPI | - | NPPES |
| 77378270 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 3216 (Colorado) | Primary |
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