Individual
STEPHEN CHARLES BRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1181 S PARKER RD, #103, DENVER, CO 80231-7550
(303) 745-7745
(303) 745-7635
Mailing address
1181 S PARKER RD, #103, DENVER, CO 80231-7550
(303) 745-7745
(303) 745-7635
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1456
CO
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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