Individual
DR. SUNDA FRIEDMAN TEBOCKHORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6680 GUNPARK DR, SUITE 200, BOULDER, CO 80301-3349
(720) 387-8458
(720) 208-0666
Mailing address
6680 GUNPARK DR, SUITE 200, BOULDER, CO 80301-3349
(720) 387-8458
(720) 208-0666
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4820
CO
101YM0800X
Mental Health Counselor
4820
CO
101YP2500X
Professional Counselor
4820
CO
103T00000X
Psychologist
Primary
4121
CO
Other
Enumeration date
11/15/2007
Last updated
09/22/2014
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