| Psychological Services Corporation | |
|
2955 Valmont Rd Ste 230 Boulder CO 80301 | |
| (303) 448-4915 | |
| (303) 444-2372 |
| Full Name | Psychological Services Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 2955 Valmont Rd, Boulder, Colorado |
| Authorized Official Name and Position | Susan Laurie Jones (OWNER) |
| Authorized Official Contact | 3034484915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Corporation 1750 30th St Pmb 139 Boulder CO 80301-1029 Ph: (303) 448-4915 | Psychological Services Corporation 2955 Valmont Rd Ste 230 Boulder CO 80301 Ph: (303) 448-4915 |
| NPI Number | 1194930396 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 03/28/2018 |
| Medicare PECOS PAC ID | 4486840311 |
|---|---|
| Medicare Enrollment ID | O20101118000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194930396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1679 (Colorado) | Primary |
| Provider Name | Susan L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205926631 PECOS PAC ID: 6103012034 Enrollment ID: I20101118000114 |
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