Western Slope Innerchange

NPI #1568668341 in Delta, Colorado

Provider Information

NPI Number: 1568668341
Entity Type: Organization
Organization Name: Western Slope Innerchange
Primary Specialty: Psychologist
Enumeration Date: Jun 27, 2007
Last Updated: May 6, 2016

Practice Location

Address: 115 GRAND AVE STE 1
City: Delta
State: Colorado
ZIP Code: 81416-2017
Phone: (970) 874-0875

Authorized Official

Name: DR. BRENDA K HOLLAND, PHD
Title: PRESIDENT
Phone: (970) 874-0875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Psychologist	103T00000X	Primary

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