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Individual

DR. JESIKA DAWN AUSTAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
325 2ND ST STE T, MONUMENT, CO 80132-9217
(651) 800-1814
Mailing address
2316 N WAHSATCH AVE # 311, COLORADO SPRINGS, CO 80907-6941
(651) 800-1814

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0005522
CO
103TC0700X
Clinical Psychologist
Primary
6561
MN
103TC0700X
Clinical Psychologist
LP6561
MN

Other

Enumeration date
06/17/2016
Last updated
04/22/2021
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