Organization
SKB THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE BAGWELL PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(720) 507-7686
Entity
Organization
Contact information
Practice address
1256 22ND ST SW, LOVELAND, CO 80537-7068
(720) 507-7686
Mailing address
1256 22ND ST SW, LOVELAND, CO 80537-7068
(773) 559-8172
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
04/02/2020
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