Colorado Family Institute | |
528 Pearl St Boulder CO 80302-5002 | |
(303) 442-8320 | |
(303) 417-0700 |
Full Name | Colorado Family Institute |
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Speciality | Psychologist |
Location | 528 Pearl St, Boulder, Colorado |
Authorized Official Name and Position | Jan T Raynak (OWNER) |
Authorized Official Contact | 3034428320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Colorado Family Institute 528 Pearl St Boulder CO 80302-5002 Ph: (303) 442-8320 | Colorado Family Institute 528 Pearl St Boulder CO 80302-5002 Ph: (303) 442-8320 |
NPI Number | 1205026937 |
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Provider Enumeration Date | 07/30/2007 |
Last Update Date | 07/30/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205026937 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 23509 (Colorado) | Primary |
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