| Pediatric Psychology Services Of Colorado | |
|
609 Main St Alamosa CO 81101-2557 | |
| (970) 924-0484 | |
| (970) 549-2874 |
| Full Name | Pediatric Psychology Services Of Colorado |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 609 Main St, Alamosa, Colorado |
| Authorized Official Name and Position | Jessica Nichole Hardy Swann (DIRECTOR OWNER) |
| Authorized Official Contact | 9709240484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Psychology Services Of Colorado 1001 Grand Ave. Suite 005 Glenwood Springs CO 81601-3642 Ph: (970) 924-0484 | Pediatric Psychology Services Of Colorado 609 Main St Alamosa CO 81101-2557 Ph: (970) 924-0484 |
| NPI Number | 1205432762 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 12/09/2020 |
| Certification Date | 12/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205432762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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