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Individual

MR. CHADWICK BRYANT ACKISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
4102 PINION DR., USAF ACADEMY, CO 80840
(719) 333-5177
Mailing address
485 POPES VALLEY DR., COLORADO SPRINGS, CO 80919
(757) 748-6590

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
12/20/2006
Last updated
10/15/2012
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