Organization
CLINICAL PSYCHOLOGIST PLLC
Active
Other names
Pepe Santana, PhD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEPE SANTANA PH.D. (CEO)
(720) 272-0565
Entity
Organization
Contact information
Practice address
90 MADISON ST, SUITE 402, DENVER, CO 80206-5418
(720) 272-0565
Mailing address
90 MADISON ST, SUITE 402, DENVER, CO 80206-5418
(720) 272-0565
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38358255
—
CO
Enumeration date
09/09/2014
Last updated
09/09/2014
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