| Mitchell A Baris, Ph D, Pc | |
|
255 Canyon Blvd Ste 300 Boulder CO 80302-4954 | |
| (303) 447-8751 | |
| Not Available |
| Full Name | Mitchell A Baris, Ph D, Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 255 Canyon Blvd Ste 300, Boulder, Colorado |
| Authorized Official Name and Position | Mitchell A Baris (PRESIDENT) |
| Authorized Official Contact | 3034478751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitchell A Baris, Ph D, Pc 255 Canyon Blvd Ste 300 Boulder CO 80302-4954 Ph: (303) 447-8751 | Mitchell A Baris, Ph D, Pc 255 Canyon Blvd Ste 300 Boulder CO 80302-4954 Ph: (303) 447-8751 |
| NPI Number | 1710711890 |
|---|---|
| Provider Enumeration Date | 08/29/2024 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710711890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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