| Waymark Psychological Services, Llc | |
|
6535 S Dayton St Ste 3650 Greenwood Village CO 80111-6135 | |
| (720) 695-3369 | |
| (720) 780-2069 |
| Full Name | Waymark Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 6535 S Dayton St Ste 3650, Greenwood Village, Colorado |
| Authorized Official Name and Position | Christopher Edward Kelley (OWNER) |
| Authorized Official Contact | 7206953369 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waymark Psychological Services, Llc 6535 S Dayton St Ste 3650 Greenwood Village CO 80111-6135 Ph: (720) 695-3369 | Waymark Psychological Services, Llc 6535 S Dayton St Ste 3650 Greenwood Village CO 80111-6135 Ph: (720) 695-3369 |
| NPI Number | 1013540640 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 02/21/2020 |
| Certification Date | 02/21/2020 |
| Medicare PECOS PAC ID | 9830590124 |
|---|---|
| Medicare Enrollment ID | O20210624000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013540640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Christopher E Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386295277 PECOS PAC ID: 0749681039 Enrollment ID: I20210624000135 |
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