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Individual

DR. FABIAN ALEXANDRO CONSBRUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
3855 AMBROSIA ST STE 302, CASTLE ROCK, CO 80109-3959
(720) 340-8290
Mailing address
PO BOX 1128, GUAYNABO, PR 00970-1128
(720) 340-8290

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PSY.0004889
CO
103TC0700X
Clinical Psychologist
10642
FL
103TC0700X
Clinical Psychologist
PSY.0004889
CO
103TH0004X
Health Psychologist
PSY.0004889
CO

Other

Enumeration date
09/20/2018
Last updated
02/28/2025
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