Organization
YOUR PEDIATRIC PSYCHOLOGIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JINSOON LEE PSYD, MSCP, BCB (PEDIATRIC HEALTH PSYCHOLOGIST)
(720) 515-2535
Entity
Organization
Contact information
Practice address
1700 E 17TH AVE, DENVER, CO 80218-1668
(720) 515-2535
Mailing address
6140 S GUN CLUB RD # K6-353, AURORA, CO 80016-5306
(310) 876-4419
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
103TH0004X
Health Psychologist
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/14/2020
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