Organization
DR. SUSAN ANN VARADY, PH.D., PC
Active
Other names
Altos Performance Psychology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ANN VARADY PH.D. (PRESIDENT/LICENSED PSYCHOLOGIST)
(719) 393-2027
Entity
Organization
Contact information
Practice address
13405 CEDARVILLE WAY, COLORADO SPRINGS, CO 80921-7641
(719) 393-2027
Mailing address
13405 CEDARVILLE WAY, COLORADO SPRINGS, CO 80921-7641
(719) 393-2027
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3702
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427217991
NPI
—
01
—
261081
MEDICARE PTAN
CO
Enumeration date
12/22/2014
Last updated
11/23/2020
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