Individual
RUSSELL J. MEYERHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1919 N GRAND AVE, PUEBLO, CO 81003-2614
(719) 569-2738
Mailing address
1919 N GRAND AVE, PUEBLO, CO 81003-2614
(719) 569-2738
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0004796
CO
Other
Enumeration date
05/25/2007
Last updated
06/09/2024
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