Organization
DR. JESIKA AUSTAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESIKA AUSTAD PSY.D (CLINICAL PSYCHOLOGIST)
(651) 800-1814
Entity
Organization
Contact information
Practice address
325 2ND ST STE T, MONUMENT, CO 80132-9217
(651) 800-1814
Mailing address
2316 N WAHSATCH AVE, COLORADO SPRINGS, CO 80907-6941
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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