Individual
DR. RAELEE EICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7730 N UNION BLVD STE 204, COLORADO SPRINGS, CO 80920-4083
(719) 323-3094
(719) 266-1773
Mailing address
7730 N UNION BLVD STE 204, COLORADO SPRINGS, CO 80920-4083
(719) 323-3094
(719) 266-1773
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0004955
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000169310
—
CO
Enumeration date
06/30/2015
Last updated
11/12/2020
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