Individual
AMY E BROOKS DEWEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002046
GA
Other
Enumeration date
12/04/2006
Last updated
01/10/2014
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