Senior Harbors, Inc.

NPI #1114009198 in Pueblo, Colorado

Provider Information

NPI Number: 1114009198
Entity Type: Organization
Organization Name: Senior Harbors, Inc.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 19, 2006
Last Updated: Sep 14, 2007

Practice Location

Address: 2118 CHATALET LANE
City: Pueblo
State: Colorado
ZIP Code: 81005
Phone: (719) 320-3648

Authorized Official

Name: DR. SHERLEY J. GONZALES, ED.D.
Title: CEO
Phone: (719) 320-3648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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