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Individual

DR. MARTHA JEAN SORENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5901 MAJESTIC ST, FREDERICK, CO 80504-6933
(970) 347-2120
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
(970) 300-3127

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2057
CO
103T00000X
Psychologist
Primary
PSY2057
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22750754
CO
Enumeration date
01/22/2007
Last updated
09/28/2021
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