| N/a | |
|
3220 N Academy Blvd Ste 4 Colorado Springs CO 80917-5115 | |
| (254) 709-4485 | |
| Not Available |
| Full Name | N/a |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 3220 N Academy Blvd Ste 4, Colorado Springs, Colorado |
| Authorized Official Name and Position | Catherine N Pitts (OWNER) |
| Authorized Official Contact | 2547094485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 1521 Columbine Blvd Colorado Springs CO 80907-5705 Ph: (254) 709-4485 | N/a 3220 N Academy Blvd Ste 4 Colorado Springs CO 80917-5115 Ph: (254) 709-4485 |
| NPI Number | 1104669621 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104669621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
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