| The Regents Of The University Of Colorado | |
|
4863 N Nevada Ave Ste 421 Colorado Springs CO 80918-3951 | |
| (719) 255-6453 | |
| (719) 255-8075 |
| Full Name | The Regents Of The University Of Colorado |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4863 N Nevada Ave Ste 421, Colorado Springs, Colorado |
| Authorized Official Name and Position | Charles C Benight (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7199308062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Regents Of The University Of Colorado 4863 N Nevada Ave Ste 421 Colorado Springs CO 80918-3951 Ph: (719) 255-6453 | The Regents Of The University Of Colorado 4863 N Nevada Ave Ste 421 Colorado Springs CO 80918-3951 Ph: (719) 255-6453 |
| NPI Number | 1184328379 |
|---|---|
| Provider Enumeration Date | 03/30/2023 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184328379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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