Organization
CLECKLER PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE CLECKLER PSY.D. (LICENSED PSYCHOLOGIST)
(719) 466-9645
Entity
Organization
Contact information
Practice address
224 E WILLAMETTE AVE, COLORADO SPRINGS, CO 80903-1114
(719) 466-9645
(719) 448-9467
Mailing address
409 VALLEY WAY, COLORADO SPRINGS, CO 80906-3229
(719) 466-9645
(719) 448-9467
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3216
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77378270
—
CO
Enumeration date
07/08/2009
Last updated
07/08/2009
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