| Edward Mockus Phd Pllc | |
|
5277 Manhattan Cir Ste 102 Boulder CO 80303-8200 | |
| (720) 526-0579 | |
| Not Available |
| Full Name | Edward Mockus Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 5277 Manhattan Cir Ste 102, Boulder, Colorado |
| Authorized Official Name and Position | Edward Mockus (OWNER) |
| Authorized Official Contact | 7205260579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Mockus Phd Pllc 5277 Manhattan Cir Ste 102 Boulder CO 80303-8200 Ph: (720) 526-0579 | Edward Mockus Phd Pllc 5277 Manhattan Cir Ste 102 Boulder CO 80303-8200 Ph: (720) 526-0579 |
| NPI Number | 1871188458 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/04/2021 |
| Certification Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871188458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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