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Organization
THE CENTER FOR PLAY THERAPY
Active
Organization
THE CENTER FOR PLAY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIERSTEN VICTORIA SIPPIO DR (CLINICAL PSYCHOLOGIST)
(504) 234-9433
Entity
Organization
Contact information
Practice address
4820 RUSINA RD STE A, COLORADO SPRINGS, CO 80907-8127
(719) 465-1977
Mailing address
4820 RUSINA RD STE A, COLORADO SPRINGS, CO 80907-8127
(504) 234-9433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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