| David Kalis, Llc | |
|
357 Mccaslin Blvd Ste 200 Louisville CO 80027-2941 | |
| (303) 482-7041 | |
| (303) 416-4356 |
| Full Name | David Kalis, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 357 Mccaslin Blvd, Louisville, Colorado |
| Authorized Official Name and Position | David H Kallis (LIMITED LIABILITY CORP-S) |
| Authorized Official Contact | 3034827041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David Kalis, Llc 357 Mccaslin Blvd Ste 200 Louisville CO 80027-2941 Ph: (303) 482-7041 | David Kalis, Llc 357 Mccaslin Blvd Ste 200 Louisville CO 80027-2941 Ph: (303) 482-7041 |
| NPI Number | 1164889069 |
|---|---|
| Provider Enumeration Date | 01/22/2016 |
| Last Update Date | 12/03/2020 |
| Certification Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164889069 | NPI | - | NPPES |
| 78085063 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY.0003755 (Colorado) | Primary |
| 1041C0700X | Social Worker - Clinical | CSW,00000077 (Colorado) | Secondary |
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