Individual
DR. JILL D POLLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1115 N GRAND AVE, STE 100, PUEBLO, CO 81003
(719) 562-4414
(719) 562-4415
Mailing address
1115 N GRAND AVE, STE 100, PUEBLO, CO 81003
(719) 562-4414
(719) 562-4415
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2010
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035311
—
CO
Enumeration date
11/10/2006
Last updated
07/08/2007
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