Jama Ellen Briscoe, Ph.d., Pllc

NPI #1023262532 in Boulder, Colorado

Provider Information

NPI Number: 1023262532
Entity Type: Organization
Organization Name: Jama Ellen Briscoe, Ph.d., Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Nov 11, 2008
Last Updated: Nov 11, 2008

Practice Location

Address: 2501 WALNUT ST
Address 2: SUITE 210
City: Boulder
State: Colorado
ZIP Code: 80302-5751
Phone: (303) 499-3808

Authorized Official

Name: DR. JAMA ELLEN BRISCOE, PH.D.
Title: PRESIDENT
Phone: (303) 499-3808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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