Organization
MARCIA L BRADEN PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA L BRADEN PHD (PRESIDENT)
(719) 633-3773
Entity
Organization
Contact information
Practice address
100 E ST VRAIN STREET, SUITE 200, COLORADO SPRINGS, CO 80903
(719) 633-3773
(719) 633-9705
Mailing address
100 E ST VRAIN STREET, SUITE 200, COLORADO SPRINGS, CO 80903
(719) 633-3773
(719) 633-9705
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1894
CO
Other
Enumeration date
02/01/2007
Last updated
08/22/2020
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