Psychological Services, P.C. in Boulder - Clinical
Psychological Services, P.C. - NPI 1679522817
Psychological Services, P.C. is a Clinical in Boulder, Colorado. Psychological Services, P.C. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Psychological Services, P.C. is 1679522817. The last update date is 2011-12-20.
Psychological Services, P.C.'s current location address is 613 Walnut St, Boulder, Colorado. You can contact this provider via phone number 3034431223 and fax number 3034739153. The mailing address for Psychological Services, P.C. is 613 Walnut St, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychological Services, P.C. |
|---|---|
| Address | 613 Walnut St, Boulder, Colorado |
| Phone Number | 3034431223 |
| Fax Number | 3034739153 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP |
|---|---|
| Authorized Official Name | Soper C. Joan |
| Credentials | PH.D. |
| Telephone Number | 3034431223 |
NPI Number Detail
| NPI Number | 1679522817 |
|---|---|
| Provider Enumeration Date | 2006-05-06 |
| Last Updated Date | 2011-12-20 |
Provider Mailing Address Detail
| Address | 613 Walnut St |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803025031 |
| Phone Number | 3034431223 |
| Fax Number | 3034739153 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 633 AND 1746 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4010732 | CO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Psychological Services, P.C.?
The Psychological Services, P.C. has been issued the NPI (National Provider Identifier) 1679522817 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Psychological Services, P.C. is physically located?
The Psychological Services, P.C. is situated at the following address: 613 Walnut St, Boulder, CO 803025031.
What is Psychological Services, P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Psychological Services, P.C.'s area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
When did Psychological Services, P.C. receive its 1679522817 assignment?
The Psychological Services, P.C. was assigned its 1679522817 on 2006-05-06, which is the date when this unique identifier was issued to the organization.
When was the information regarding Psychological Services, P.C. most recently updated?
The details pertaining to the Psychological Services, P.C., including its address, specialty, and other relevant information, were last refreshed on 2011-12-20.
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