| The Interpersonal Healing Clinic, Llc | |
|
1006 Depot Hill Rd Suite D Broomfield CO 80020-6721 | |
| (303) 514-4058 | |
| (303) 482-1331 |
| Full Name | The Interpersonal Healing Clinic, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1006 Depot Hill Rd, Broomfield, Colorado |
| Authorized Official Name and Position | Lisa Michelle Templeton (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 3035144058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Interpersonal Healing Clinic, Llc 1006 Depot Hill Rd Suite D Broomfield CO 80020-6721 Ph: (303) 514-4058 | The Interpersonal Healing Clinic, Llc 1006 Depot Hill Rd Suite D Broomfield CO 80020-6721 Ph: (303) 514-4058 |
| NPI Number | 1508187154 |
|---|---|
| Provider Enumeration Date | 06/17/2010 |
| Last Update Date | 06/17/2010 |
| Medicare PECOS PAC ID | 9739347550 |
|---|---|
| Medicare Enrollment ID | O20120225000088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508187154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY 3071 (Colorado) | Primary |
| Provider Name | Lisa M Templeton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588780613 PECOS PAC ID: 5092973818 Enrollment ID: I20120225000107 |
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