Organization
THE CENTER FOR PLAY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIERSTEN VICTORIA SIPPIO DR (CLINICAL PSYCHOLOGIST)
(504) 234-9433
Entity
Organization
Contact information
Practice address
4820 RUSINA RD STE A, COLORADO SPRINGS, CO 80907-8127
(719) 465-1977
Mailing address
4820 RUSINA RD STE A, COLORADO SPRINGS, CO 80907-8127
(504) 234-9433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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