| Foothills Psychological Group | |
|
2501 Walnut St Ste 202 Boulder CO 80302-5751 | |
| (303) 473-4433 | |
| Not Available |
| Full Name | Foothills Psychological Group |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2501 Walnut St, Boulder, Colorado |
| Authorized Official Name and Position | Gregory Gerritsen (PARTNER) |
| Authorized Official Contact | 3034992217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Psychological Group 1062 Love Ct Boulder CO 80303-2975 Ph: (303) 494-4181 | Foothills Psychological Group 2501 Walnut St Ste 202 Boulder CO 80302-5751 Ph: (303) 473-4433 |
| NPI Number | 1699098194 |
|---|---|
| Provider Enumeration Date | 03/11/2010 |
| Last Update Date | 03/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699098194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1209 (Colorado) | Primary |
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