Individual
MICHELE ADRIENNE PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4410 ARAPAHOE SUITE 140, BOULDER, CO 80303
(303) 443-3920
(720) 600-0312
Mailing address
PO BOX 862, BOULDER, CA 80306
(303) 443-3920
(720) 600-0312
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
879
CO
Other
Enumeration date
09/25/2017
Last updated
09/25/2017
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