| Your Pediatric Psychologist, Llc | |
|
1700 E 17th Ave Denver CO 80218-1668 | |
| (720) 515-2535 | |
| Not Available |
| Full Name | Your Pediatric Psychologist, Llc |
|---|---|
| Speciality | Psychologist - Health |
| Location | 1700 E 17th Ave, Denver, Colorado |
| Authorized Official Name and Position | Jinsoon Lee (PEDIATRIC HEALTH PSYCHOLOGIST) |
| Authorized Official Contact | 7205152535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Pediatric Psychologist, Llc 6140 S Gun Club Rd # K6-353 Aurora CO 80016-5306 Ph: (310) 876-4419 | Your Pediatric Psychologist, Llc 1700 E 17th Ave Denver CO 80218-1668 Ph: (720) 515-2535 |
| NPI Number | 1407461189 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407461189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Primary |
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