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Individual

DR. JESSICA DALE BARTLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D., LCSW

Contact information

Practice address
2450 S VINE ST, DENVER, CO 80210-5264
(303) 871-6087
Mailing address
2450 S. VINE STREET, ROOM 209, DENVER, CO 80208
(720) 663-0180

Taxonomy

Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
Primary
4018
CO
1041C0700X
Clinical Social Worker
9923251
CO

Other

Enumeration date
11/06/2013
Last updated
11/09/2016
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