| Ute Pass Psychological Consultation | |
|
900 Tamarac Pkwy Unit 7122 Woodland Park CO 80863-7776 | |
| (719) 484-9334 | |
| Not Available |
| Full Name | Ute Pass Psychological Consultation |
|---|---|
| Speciality | Psychologist |
| Location | 900 Tamarac Pkwy Unit 7122, Woodland Park, Colorado |
| Authorized Official Name and Position | Christopher B Estep (OWNER / PROVIDER) |
| Authorized Official Contact | 7194849334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ute Pass Psychological Consultation 900 Tamarac Pkwy Unit 7122 Woodland Park CO 80863-7776 Ph: (719) 484-9334 | Ute Pass Psychological Consultation 900 Tamarac Pkwy Unit 7122 Woodland Park CO 80863-7776 Ph: (719) 484-9334 |
| NPI Number | 1619502838 |
|---|---|
| Provider Enumeration Date | 03/09/2020 |
| Last Update Date | 03/09/2020 |
| Certification Date | 03/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619502838 | NPI | - | NPPES |
| PSY.0003464 | Other | CO | DORA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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