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Individual

DR. JANICE DALE ORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
375 E HORSETOOTH RD, BUILDING 2-203, FORT COLLINS, CO 80525-3155
(970) 377-9443
(970) 204-6985
Mailing address
375 E HORSETOOTH RD, BUILDING 2-203, FORT COLLINS, CO 80525-3155
(970) 377-9443
(970) 204-6985

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1606
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07016066
CO
Enumeration date
11/09/2006
Last updated
07/08/2007
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