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Organization

JANE SUTLIFF, PH.D., LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANE SUTLIFF PH.D. (CLINICAL PSYCHOLOGIST)
(720) 313-3514
Entity
Organization

Contact information

Practice address
357 MCCASLIN BLVD, LOUISVILLE, CO 80027-2941
(720) 313-3514
Mailing address
357 MCCASLIN BLVD, LOUISVILLE, CO 80027-2941
(720) 313-3514

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2198
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
24833011
CO
Enumeration date
02/26/2007
Last updated
04/10/2008
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