Organization
BLUE SPRUCE ASSOCIATES, INC.
Active
Other names
Centennial Center for Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA A. GAYNOR PH.D. (DIRECTOR, CLINICAL PSYCHOLOGIST)
(970) 221-0581
Entity
Organization
Contact information
Practice address
515 S. SHERWOOD ST, FORT COLLINS, CO 80521-2842
(970) 221-0581
(970) 482-8541
Mailing address
5151 S. SHERWOOD ST., FORT COLLINS, CO 80521-2842
(970) 221-0581
(970) 482-8541
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
292
CO
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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