Organization
RANDY A BRALEY PHD LMFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY A BRALEY PHD (OWNER)
(303) 726-8754
Entity
Organization
Contact information
Practice address
2201 DOWNING ST, DENVER, CO 80205-5234
(303) 278-7418
(888) 341-5050
Mailing address
5310 WARD RD, SUITE 106, ARVADA, CO 80002-1832
(303) 278-7418
(888) 341-5050
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3770
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3770
PROFESSIONAL LICENSE
CO
Enumeration date
10/19/2012
Last updated
10/19/2012
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