| Rocky Mountain Psychological Services | |
|
2919 17th Ave Suite 210 Longmont CO 80503-1650 | |
| (303) 651-9290 | |
| (303) 651-7158 |
| Full Name | Rocky Mountain Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2919 17th Ave, Longmont, Colorado |
| Authorized Official Name and Position | William Michael Smith (PRESIDENT) |
| Authorized Official Contact | 3036519290 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Mountain Psychological Services 2727 Nelson Rd Apt P103 Longmont CO 80503-9383 Ph: (303) 651-9290 | Rocky Mountain Psychological Services 2919 17th Ave Suite 210 Longmont CO 80503-1650 Ph: (303) 651-9290 |
| NPI Number | 1316021801 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 11/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316021801 | NPI | - | NPPES |
| 07211014 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2110 (Colorado) | Primary |
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