| Lmg Psychology Pvb | |
|
1606 Prairie Center Pkwy Ste 210 Brighton CO 80601-4004 | |
| (303) 403-6688 | |
| (303) 403-6245 |
| Full Name | Lmg Psychology Pvb |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1606 Prairie Center Pkwy Ste 210, Brighton, Colorado |
| Authorized Official Name and Position | Jon Mcdaniel (VP FINANCE) |
| Authorized Official Contact | 3032720231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmg Psychology Pvb 500 Eldorado Blvd Ste 6300 Broomfield CO 80021-3422 Ph: (303) 272-0566 | Lmg Psychology Pvb 1606 Prairie Center Pkwy Ste 210 Brighton CO 80601-4004 Ph: (303) 403-6688 |
| NPI Number | 1740888395 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 10/15/2020 |
| Certification Date | 10/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740888395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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