| Psychological Associates Of Western Co. P.c. | |
|
2530 North 8th Street Suite #204 Grand Junction CO 81501-8858 | |
| (970) 245-3505 | |
| (970) 245-1766 |
| Full Name | Psychological Associates Of Western Co. P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2530 North 8th Street, Grand Junction, Colorado |
| Authorized Official Name and Position | Dale E. Bowen (OWNER) |
| Authorized Official Contact | 9702453505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Associates Of Western Co. P.c. 2530 North 8th Street Suite #204 Grand Junction CO 81501-8858 Ph: (970) 245-3505 | Psychological Associates Of Western Co. P.c. 2530 North 8th Street Suite #204 Grand Junction CO 81501-8858 Ph: (970) 245-3505 |
| NPI Number | 1033233176 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 11/24/2008 |
| Medicare PECOS PAC ID | 2567594294 |
|---|---|
| Medicare Enrollment ID | O20100715000981 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033233176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Dale E Bowen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255319521 PECOS PAC ID: 8123003993 Enrollment ID: I20040624000262 |
| Provider Name | John L Gustavson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720068059 PECOS PAC ID: 2567447345 Enrollment ID: I20040624000354 |
| Provider Name | Scott A Emsley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598099616 PECOS PAC ID: 2961887484 Enrollment ID: I20220920002715 |
| Provider Name | Tabitha Graves Emsley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619104056 PECOS PAC ID: 4385000330 Enrollment ID: I20230517000057 |
| Provider Name | Alena Kryvanos |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154843357 PECOS PAC ID: 5991146052 Enrollment ID: I20240507004556 |
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