Individual
DR. ANNE RUNDLE CLEMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5858 CUMBRE VISTA WAY, COLORADO SPRINGS, CO 80924-6000
(719) 649-8747
Mailing address
5858 CUMBRE VISTA WAY, COLORADO SPRINGS, CO 80924-6000
(719) 649-8747
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3134
CO
103T00000X
Psychologist
373
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000052611
BLUE CROSS SHIELD OF MONT
MT
Enumeration date
07/21/2006
Last updated
11/01/2007
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