Organization
SOUTHEAST PSYCHIATRIC ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE HENDERSON M.D. PH.D (PRESIDENT)
(720) 493-1101
Entity
Organization
Contact information
Practice address
19284 COTTONWOOD DR, SUITE 202, PARKER, CO 80138-3882
(720) 493-5467
Mailing address
3979 E ARAPAHOE RD, SUITE 200, CENTENNIAL, CO 80122-2072
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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