| Divinocounselingassociates | |
|
1455 Yarmouth Ave Suite 112 Boulder CO 80304-4371 | |
| (303) 440-8810 | |
| (303) 484-3100 |
| Full Name | Divinocounselingassociates |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1455 Yarmouth Ave, Boulder, Colorado |
| Authorized Official Name and Position | Cynthia L Divino (DIRECTOR) |
| Authorized Official Contact | 3034408810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divinocounselingassociates 1455 Yarmouth Ave Suite 112 Boulder CO 80304-4371 Ph: (303) 440-8810 | Divinocounselingassociates 1455 Yarmouth Ave Suite 112 Boulder CO 80304-4371 Ph: (303) 440-8810 |
| NPI Number | 1790224327 |
|---|---|
| Provider Enumeration Date | 02/15/2017 |
| Last Update Date | 02/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790224327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY.0001359 (Colorado) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY.0001359 (Colorado) | Primary |
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