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Individual

DENNIS E MERCADAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6475 LEHMAN DR, COLORADO SPRINGS, CO 80918-1407
(719) 272-4093
(719) 272-4093
Mailing address
6475 LEHMAN DR, COLORADO SPRINGS, CO 80918-1407
(719) 272-4093
(719) 272-4093

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2650
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2650
PROFESSIONAL LICENSE
CO
Enumeration date
10/13/2007
Last updated
10/13/2007
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