| Sandra Layne Gaskill, Inc | |
|
3312 Cripple Creek Trl Boulder CO 80305-7161 | |
| (303) 579-7330 | |
| Not Available |
| Full Name | Sandra Layne Gaskill, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3312 Cripple Creek Trl, Boulder, Colorado |
| Authorized Official Name and Position | Sandra Layne Gaskill (OWNER) |
| Authorized Official Contact | 3035797330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Layne Gaskill, Inc 3312 Cripple Creek Trl Boulder CO 80305-7161 Ph: (303) 579-7330 | Sandra Layne Gaskill, Inc 3312 Cripple Creek Trl Boulder CO 80305-7161 Ph: (303) 579-7330 |
| NPI Number | 1407500796 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 02/07/2022 |
| Certification Date | 02/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407500796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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