Individual
DR. BREA BANKS WIMBLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.M L.P.
Contact information
Practice address
COLORADO STATE UNIVERSITY, FORT COLLINS, CO 80523-0001
(970) 491-7494
Mailing address
COLORADO STATE UNIVERSITY, FORT COLLINS, CO 80523-0001
(970) 491-7494
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY: 0004457
CO
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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