Canyon Tree Psychotherapy, LLC

NPI #1720522626 in Thornton, Colorado

Provider Information

NPI Number: 1720522626
Entity Type: Organization
Organization Name: Canyon Tree Psychotherapy, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 12, 2016
Last Updated: Dec 12, 2016

Practice Location

Address: 9351 GRANT ST
Address 2: 480
City: Thornton
State: Colorado
ZIP Code: 80229-4358
Phone: (720) 442-4506

Authorized Official

Name: ANN M BOMBERG, LCSW
Title: OWNER/PRACTICTIONER
Phone: (720) 442-4506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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