Organization
BROADMOOR PSYCHOLOGICAL SERVICES LLC
Active
Organization
BROADMOOR PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE WICKIZER PSY.D (OWNER)
(719) 900-1301
Entity
Organization
Contact information
Practice address
830 TENDERFOOT HILL RD STE 150, COLORADO SPRINGS, CO 80906-7377
(719) 900-1301
(719) 735-4952
Mailing address
830 TENDERFOOT HILL RD STE 150, COLORADO SPRINGS, CO 80906-7377
(719) 900-1301
(719) 735-4952
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
01/28/2026
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