# CLECKLER PSYCHOLOGICAL SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225267503
- **Authorized official:** DR. MICHELLE CLECKLER PSY.D. (LICENSED PSYCHOLOGIST)
- **Authorized official phone:** (719) 466-9645

## Contact information

- **Practice address:** 224 E WILLAMETTE AVE, COLORADO SPRINGS, CO 80903-1114
- **Practice address phone:** (719) 466-9645
- **Practice address fax:** (719) 448-9467
- **Mailing address:** 409 VALLEY WAY, COLORADO SPRINGS, CO 80906-3229
- **Mailing address phone:** (719) 466-9645
- **Mailing address fax:** (719) 448-9467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 3216 | CO | Yes |

## Other

- **Enumeration date:** 07/08/2009
- **Last updated:** 07/08/2009