Organization
THE BOULDER INSTITUTE FOR PSYCHOTHERAPY AND RESEARCH
Active
Other names
BIPR Zero-to-Five
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA DIVINO PH.D. (EXECUTIVE DIRECTOR)
(303) 442-4562
Entity
Organization
Contact information
Practice address
1240 PINE ST, BOULDER, CO 80302-4809
(303) 442-4562
(303) 444-2843
Mailing address
1240 PINE ST, BOULDER, CO 80302-4809
(303) 442-4562
(303) 444-2843
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
20113020808
CO
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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