Organization
PSYCHOLOGICAL COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERMAN STAUDENMAYER JR. PH.D. (DIRECTOR)
(303) 758-8934
Entity
Organization
Contact information
Practice address
10332 TOMICHI DR, FRANKTOWN, CO 80116-8533
(303) 758-8934
Mailing address
10332 TOMICHI DR, FRANKTOWN, CO 80116-8533
(303) 758-8934
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
684
CO
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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