Individual
DR. STACEY R BROMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
4200 E NINTH AVENUE C-268-52 CPH RM 2K01, DENVER, CO 80262-0001
(303) 315-1936
(303) 315-5040
Mailing address
4200 E NINTH AVENUE C-268-52 CPH RM 2K01, DENVER, CO 80262-0001
(303) 315-1936
(303) 315-5040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2845
CO
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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