Individual
DR. JEFFREY JOHN ELENEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4645 SPRING CANYON HTS, COLORADO SPRINGS, CO 80907-9403
(719) 622-6887
Mailing address
4860 ROBB ST STE 201, WHEAT RIDGE, CO 80033-2162
(303) 278-7418
(888) 341-5050
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2980
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13578071
CAQH
CO
Enumeration date
06/18/2008
Last updated
06/25/2015
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