| Laurence S. Aylesworth, Ph.d. & Associates, Inc. | |
|
1300 Lafayette St Denver CO 80218-4421 | |
| (303) 839-9773 | |
| (303) 861-2558 |
| Full Name | Laurence S. Aylesworth, Ph.d. & Associates, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1300 Lafayette St, Denver, Colorado |
| Authorized Official Name and Position | Laurence Aylesworth (DIRECTOR) |
| Authorized Official Contact | 3038399773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurence S. Aylesworth, Ph.d. & Associates, Inc. 1300 Lafayette St Denver CO 80218-4421 Ph: (303) 839-9773 | Laurence S. Aylesworth, Ph.d. & Associates, Inc. 1300 Lafayette St Denver CO 80218-4421 Ph: (303) 839-9773 |
| NPI Number | 1265616502 |
|---|---|
| Provider Enumeration Date | 12/21/2007 |
| Last Update Date | 08/10/2015 |
| Medicare PECOS PAC ID | 3577570704 |
|---|---|
| Medicare Enrollment ID | O20060314000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265616502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 939 (Colorado) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (Colorado) | Primary |
| Provider Name | Laurence S Aylesworth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215087192 PECOS PAC ID: 9234145830 Enrollment ID: I20060315000099 |
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