Organization
SCL HEALTH FRONT RANGE INC
Active
Parent organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Other names
LMG Psychology PVB
Organization subpart
Yes
Provider details
NPI number
Legal business name
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
Authorized official
JON MCDANIEL (VP FINANCE)
(303) 272-0231
Entity
Organization
Contact information
Practice address
1606 PRAIRIE CENTER PKWY STE 210, BRIGHTON, CO 80601-4004
(303) 403-6688
(303) 403-6245
Mailing address
500 ELDORADO BLVD STE 6300, BROOMFIELD, CO 80021-3422
(303) 272-0566
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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