Marcia L Braden Phd Pc | |
100 E St Vrain Street Suite 200 Colorado Springs CO 80903 | |
(719) 633-3773 | |
(719) 633-9705 |
Full Name | Marcia L Braden Phd Pc |
---|---|
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 100 E St Vrain Street, Colorado Springs, Colorado |
Authorized Official Name and Position | Marcia L Braden (PRESIDENT) |
Authorized Official Contact | 7196333773 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marcia L Braden Phd Pc 100 E St Vrain Street Suite 200 Colorado Springs CO 80903 Ph: (719) 633-3773 | Marcia L Braden Phd Pc 100 E St Vrain Street Suite 200 Colorado Springs CO 80903 Ph: (719) 633-3773 |
NPI Number | 1609913011 |
---|---|
Provider Enumeration Date | 02/01/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609913011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 1894 (Colorado) | Primary |
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