Organization
DEVELOPMENTAL FX-THE DEVELOPMENTAL & FRAGILE X RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH HARTMAN MOORE MBA (HEALTHCARE & SYSTEM MANAGER)
(303) 333-8360
Entity
Organization
Contact information
Practice address
3615 MARTIN LUTHER KING JR BLVD, DENVER, CO 80205-4976
(303) 333-8360
(303) 333-8380
Mailing address
3615 MARTIN LUTHER KING JR BLVD, DENVER, CO 80205-4976
(303) 333-8360
(303) 333-8380
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63670321
—
CO
Enumeration date
08/26/2008
Last updated
02/24/2023
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