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Individual

DR. DEBORAH PATZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSYD, LAC

Contact information

Practice address
5458 MAJESTIC DR, COLORADO SPRINGS, CO 80919-3502
(719) 351-2229
Mailing address
5458 MAJESTIC DR, COLORADO SPRINGS, CO 80919-3502
(719) 351-2229

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3616
CO
103TC0700X
Clinical Psychologist
3616
CO
103TC1900X
Counseling Psychologist
35SI00782500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
35SI00782500
PSYCHOLOGY LICENSE
NJ
01
3616
PSYCHOLOGIST LICENSE NUMBER
CO
01
ACD1528
LICENSED ADDICTION COUNSELOR
CO
Enumeration date
10/05/2011
Last updated
08/25/2025
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