| Dr. Jesika Austad, Llc | |
|
325 2nd St Ste T Monument CO 80132-9217 | |
| (651) 800-1814 | |
| Not Available |
| Full Name | Dr. Jesika Austad, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 325 2nd St Ste T, Monument, Colorado |
| Authorized Official Name and Position | Jesika Austad (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6518001814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jesika Austad, Llc 2316 N Wahsatch Ave Colorado Springs CO 80907-6941 Ph: () - | Dr. Jesika Austad, Llc 325 2nd St Ste T Monument CO 80132-9217 Ph: (651) 800-1814 |
| NPI Number | 1346825460 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346825460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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