Organization
FOOTHILLS PSYCHOLOGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GERRITSEN PHD (PARTNER)
(303) 499-2217
Entity
Organization
Contact information
Practice address
2501 WALNUT ST, STE 202, BOULDER, CO 80302-5751
(303) 473-4433
Mailing address
1062 LOVE CT, BOULDER, CO 80303-2975
(303) 494-4181
(303) 499-2217
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1209
CO
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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