| Gnomie's Place Pllc | |
|
6772 Ancestra Dr Fountain CO 80817-1550 | |
| (719) 649-3288 | |
| Not Available |
| Full Name | Gnomie's Place Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 6772 Ancestra Dr, Fountain, Colorado |
| Authorized Official Name and Position | Cynthia Toland (OWNER) |
| Authorized Official Contact | 7196493288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gnomie's Place Pllc 6772 Ancestra Dr Fountain CO 80817-1550 Ph: (719) 649-3288 | Gnomie's Place Pllc 6772 Ancestra Dr Fountain CO 80817-1550 Ph: (719) 649-3288 |
| NPI Number | 1386438620 |
|---|---|
| Provider Enumeration Date | 04/09/2025 |
| Last Update Date | 04/09/2025 |
| Certification Date | 04/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386438620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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