Individual
KATHERINE WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4090 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920-7815
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PSY.0005100
CO
Other
Enumeration date
09/11/2018
Last updated
12/02/2019
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