Individual
KEVIN JOEL UDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2523 BROADWAY ST STE 201, BOULDER, CO 80304-4251
(303) 931-8811
Mailing address
2523 BROADWAY ST STE 201, BOULDER, CO 80304-4251
(303) 931-8811
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1686
CO
Other
Enumeration date
02/16/2010
Last updated
11/10/2015
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