Organization
OPEN ROAD PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC E FLOREZ PSYD (CLINICAL PSYCHOLOGIST/DIRECTOR)
(303) 261-8294
Entity
Organization
Contact information
Practice address
1660 S ALBION ST, SUITE 309, DENVER, CO 80222-4008
(303) 261-8294
Mailing address
1685 S COLORADO BLVD, SUITE S-109, DENVER, CO 80222-4000
(303) 261-8294
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281504YRDZ
—
CO
Enumeration date
03/12/2013
Last updated
04/28/2016
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