Individual
DR. JENNIFER IVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1650 COCHRANE CIR BLDG 1657, EVANS ARMY COMMUNITY HOSPITAL, FORT CARSON, CO 80913-4613
(719) 526-3547
Mailing address
1650 COCHRANE CIR BLDG 1657, EVANS ARMY COMMUNITY HOSPITAL, FORT CARSON, CO 80913-4613
(719) 526-3547
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
560
WY
Other
Enumeration date
08/31/2015
Last updated
01/23/2017
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