Foothills Psychological Group

NPI #1699098194 in Boulder, Colorado

Provider Information

NPI Number: 1699098194
Entity Type: Organization
Organization Name: Foothills Psychological Group
Primary Specialty: Psychologist - Clinical
Enumeration Date: Mar 11, 2010
Last Updated: Mar 11, 2010

Practice Location

Address: 2501 WALNUT ST
Address 2: STE 202
City: Boulder
State: Colorado
ZIP Code: 80302-5751
Phone: (303) 473-4433

Authorized Official

Name: GREGORY GERRITSEN, PHD
Title: PARTNER
Phone: (303) 499-2217

Specialties & Taxonomy Codes

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

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