Organization
CHEYENNE MOUNTAIN PSYCHOLOGICAL ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYE LYNNE DIPPEL PH.D (OWNER)
(719) 635-3453
Entity
Organization
Contact information
Practice address
1830 PARKVIEW BLVD, COLORADO SPRINGS, CO 80905-7629
(719) 635-3453
Mailing address
1830 PARKVIEW BLVD, COLORADO SPRINGS, CO 80905-7629
(719) 635-3453
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2065
CO
Other
Enumeration date
07/22/2013
Last updated
12/12/2014
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