Individual
EVELYN J BASSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2043 PEARL ST, BOULDER, CO 80302-4429
(303) 449-5833
Mailing address
2043 PEARL ST, BOULDER, CO 80302-4429
(303) 449-5833
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
983
CO
Other
Enumeration date
07/07/2010
Last updated
07/07/2010
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