Individual
ARIADHNE PADILLA-DIFFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
220 E ROGERS RD, LONGMONT, CO 80501-6027
(303) 697-2583
(303) 682-6419
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 697-2583
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0005540
CO
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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