Organization
KRISTIN BROUSSEAU, DO, PC
Active
Other names
Boulder Neuropsychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTIN M BROUSSEAU D.O. (PRESIDENT, SOLE PROPRIETOR)
(720) 938-6720
Entity
Organization
Contact information
Practice address
2501 WALNUT ST, SUITE 108, BOULDER, CO 80302-5751
(720) 223-7877
(888) 873-4912
Mailing address
2501 WALNUT ST, SUITE 108, BOULDER, CO 80302-5751
(720) 223-7877
(888) 873-4912
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
40799
CO
Other
Enumeration date
04/17/2009
Last updated
04/28/2009
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