Organization
J. LEWIS MYLAR, PHD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. LEWIS MYLAR PHD, P.C. (OWNER)
(719) 633-2008
Entity
Organization
Contact information
Practice address
524 N TEJON ST, COLORADO SPRINGS, CO 80903-4926
(719) 633-2008
Mailing address
524 N TEJON ST, COLORADO SPRINGS, CO 80903-4926
(719) 633-2008
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
308
CO
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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