Individual
MOANA KRUSCHWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2133 13TH ST, BOULDER, CO 80302-4856
(303) 241-2149
Mailing address
197 FRANCIS ST, LONGMONT, CO 80501-5821
(303) 241-2149
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3739
CO
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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