Organization
ORIGINS PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUKO KISHIMOTO PHD (PSYCHOLOGIST)
(303) 564-4830
Entity
Organization
Contact information
Practice address
8354 E NORTHFIELD BLVD UNIT 3700, DENVER, CO 80238-3135
(720) 541-5854
Mailing address
903 UINTA WAY, DENVER, CO 80230-6885
(303) 564-4830
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY.0004530
CO
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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