Organization
JULIE MACK, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MACK PH.D. (PRESIDENT)
(970) 227-2740
Entity
Organization
Contact information
Practice address
2500 ROCKY MTN AVE, SUITE 310, LOVELAND, CO 80538-9004
(970) 227-2740
(970) 221-3730
Mailing address
PO BOX 2086, FORT COLLINS, CO 80522-2086
(970) 221-3456
(970) 221-3730
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2326
CO
Other
Enumeration date
02/11/2010
Last updated
04/08/2010
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