Individual
DR. JON BLAUW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHDNE
Contact information
Practice address
500 KIMBARK ST STE 200, LONGMONT, CO 80501-5585
(303) 651-1515
(720) 652-0408
Mailing address
500 KIMBARK ST STE 200, LONGMONT, CO 80501-5585
(303) 651-1515
(720) 652-0408
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0004751
CO
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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