Individual
MELISSA A COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1601 CONSTITUTION RD, PUEBLO, CO 81001-2132
(719) 562-7288
Mailing address
5315 AUBREY WAY, COLORADO SPRINGS, CO 80919-3500
(210) 241-1282
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0004957
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004957
LICENSE
CO
Enumeration date
02/01/2019
Last updated
02/01/2019
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