Individual
SARAH ELEANOR GILLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4550 SW SUMMIT TRL, EVERGREEN, CO 80439-7846
(303) 674-2566
Mailing address
PO BOX 593, EVERGREEN, CO 80437-0593
(720) 903-0837
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3530
CO
Other
Enumeration date
09/22/2007
Last updated
12/30/2020
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