| Leslie Hannon Psyd Llc | |
|
80 Garden Ctr Ste 320 Broomfield CO 80020-1735 | |
| (720) 560-4016 | |
| Not Available |
| Full Name | Leslie Hannon Psyd Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 80 Garden Ctr Ste 320, Broomfield, Colorado |
| Authorized Official Name and Position | Leslie Hannon (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7205604016 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Hannon Psyd Llc 80 Garden Ctr Ste 320 Broomfield CO 80020-1735 Ph: (720) 560-4016 | Leslie Hannon Psyd Llc 80 Garden Ctr Ste 320 Broomfield CO 80020-1735 Ph: (720) 560-4016 |
| NPI Number | 1134952153 |
|---|---|
| Provider Enumeration Date | 08/23/2024 |
| Last Update Date | 10/15/2024 |
| Certification Date | 10/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134952153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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