Individual
KRISTIN MIESEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1090 OPAL ST, UNIT 103, BROOMFIELD, CO 80020-7306
(720) 468-3870
Mailing address
1090 OPAL ST, UNIT 103, BROOMFIELD, CO 80020-7306
(720) 468-3870
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
009095
CO
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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