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Individual

JAMES R CORCORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2001 SOUTH SHIELDS BUILDING L, FORT COLLINS, CO 80526-1839
(970) 416-8626
(970) 493-6643
Mailing address
2001 SOUTH SHIELDS BUILDING L, FORT COLLINS, CO 80526-1839
(970) 416-8626
(970) 493-6643

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
CO1498
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07014988
CO
Enumeration date
05/31/2007
Last updated
02/22/2008
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