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2551 W 84th Ave Westminster CO 80031-3807 | |
| (303) 426-2151 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2551 W 84th Ave, Westminster, Colorado |
| Authorized Official Name and Position | Ramy Hanna (CFO) |
| Authorized Official Contact | 3038048189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Department 1057 Denver CO 80291-1057 Ph: (303) 486-5500 | 2551 W 84th Ave Westminster CO 80031-3807 Ph: (303) 426-2151 |
| NPI Number | 1730325168 |
|---|---|
| Provider Enumeration Date | 01/07/2009 |
| Last Update Date | 09/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730325168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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