Organization
HUMMINGBIRD PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN DIPPEN MD (OWNER)
(802) 316-8116
Entity
Organization
Contact information
Practice address
204 WALNUT ST STE F, FORT COLLINS, CO 80524-4441
(802) 316-8116
(608) 360-9104
Mailing address
204 WALNUT ST STE F, FORT COLLINS, CO 80524-4441
(802) 316-8116
(608) 360-9104
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F812198
—
VT
Enumeration date
01/16/2020
Last updated
01/16/2020
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