| Dr Judy M Cole, PSYD | |
| 
					559 Vincent Street, Attn: 21 Mdos/sgow - Mental Health, Peterson Afb, CO 80914-1540  | |
| (719) 556-7804 | |
| Not Available | 
| Full Name | Dr Judy M Cole | 
|---|---|
| Gender | Female | 
| Speciality | Psychologist - Clinical | 
| Location | 559 Vincent Street, Peterson Afb, Colorado | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1295858884 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 7481 (Florida) | Primary | 
| Entity Name | Family Care Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960  | 
| Entity Name | Sondermind Provider Network Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Judy M Cole, PSYD 559 Vincent Street, Attn: 21 Mdos/sgow - Mental Health, Peterson Afb, CO 80914-1540 Ph: (719) 556-7804  | Dr Judy M Cole, PSYD 559 Vincent Street, Attn: 21 Mdos/sgow - Mental Health, Peterson Afb, CO 80914-1540 Ph: (719) 556-7804  | 
Alicia Teresa Rozycki, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Attn: 21 Mds - Sgof, Peterson Afb, CO 80914 Phone: 719-567-4489 Fax: 877-813-1756  | |
Christopher Noullet,  Psychologist Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St., 21 Mdos/sgow - Attn: Mental Health, Peterson Afb, CO 80914 Phone: 719-556-7804 Fax: 877-813-1756  | |
John Frank Drozd, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 21st Medical Group, 559 Vincent Street, Peterson Afb, CO 80914 Phone: 719-556-7804  | |
Dr. Mark Rolsten, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Attn: 21 Mdos/sgoh-mental Health, Peterson Afb, CO 80914 Phone: 719-556-7804 Fax: 866-867-7926  | |
Krystelle Jean-michel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St Bldg 725, Peterson Afb, CO 80914 Phone: 315-782-4841  | |
Dr. Todd William Neu, PSYCHOLOGIST PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Attn: 21 Mdos/sgoh- Mental Health, Peterson Afb, CO 80914 Phone: 719-556-7804 Fax: 719-556-9677  |