| Glorious Unfolding Psychological Services, Llc | |
|
6004 S Kipling Pkwy Ste 212 Littleton CO 80127-5544 | |
| (303) 997-2491 | |
| Not Available |
| Full Name | Glorious Unfolding Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6004 S Kipling Pkwy Ste 212, Littleton, Colorado |
| Authorized Official Name and Position | Laurie Tonelli (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3039972491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glorious Unfolding Psychological Services, Llc 6088 S Marshall Dr Littleton CO 80123-3750 Ph: (303) 990-4177 | Glorious Unfolding Psychological Services, Llc 6004 S Kipling Pkwy Ste 212 Littleton CO 80127-5544 Ph: (303) 997-2491 |
| NPI Number | 1568214088 |
|---|---|
| Provider Enumeration Date | 04/05/2024 |
| Last Update Date | 04/05/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 9537509054 |
|---|---|
| Medicare Enrollment ID | O20240501002700 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568214088 | NPI | - | NPPES |
| 1124409693 | Other | NPI - TYPE I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Laurie Tonelli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124409693 PECOS PAC ID: 2860812740 Enrollment ID: I20201014002167 |
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