Individual
RACHEL DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
954 NORTH ST, SUITE 207, BOULDER, CO 80304-3307
(303) 545-6789
Mailing address
910 VENICE ST, LONGMONT, CO 80501-4448
(303) 545-6789
(952) 216-9393
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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