Individual
JUDSON RYAN POLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
9540 PARK MEADOWS DR, LONE TREE, CO 80124-2894
(720) 848-0000
(785) 452-4932
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2646
KS
103TC0700X
Clinical Psychologist
2646
KS
103TC0700X
Clinical Psychologist
Primary
PSY.0006202
CO
Other
Enumeration date
03/20/2018
Last updated
01/23/2024
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