Individual
MIGUELINA J VARGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1304 N ACADEMY BLVD, SUITE 204, COLORADO SPRINGS, CO 80909-3325
(719) 205-4309
(719) 465-3576
Mailing address
4175 SANDBERG DR, COLORADO SPRINGS, CO 80911-3441
(719) 205-4309
(719) 205-4309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2647
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11421835
—
CO
01
—
811196
PTAN
CO
Enumeration date
03/20/2007
Last updated
05/20/2013
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