Individual
KRISTIN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2501 WALNUT STREET, SUITE 104, BOULDER, CO 80302
(303) 200-4780
(970) 221-3730
Mailing address
P O BOX 2086, FORT COLLINS, CO 80522-2086
(303) 444-3443
(970) 221-3730
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2463
CO
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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