Individual
RICHARD GLENN RATLIFF
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1919 14TH ST, SUITE 600, BOULDER, CO 80302-5310
(303) 440-0072
(303) 530-0419
Mailing address
1919 14TH ST, SUITE 600, BOULDER, CO 80302-5310
(303) 440-0072
(303) 530-0419
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
330
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07003304
—
CO
Enumeration date
04/09/2006
Last updated
07/08/2007
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