Colorado Seminary

NPI #1912464777 in Denver, Colorado

Provider Information

NPI Number: 1912464777
Entity Type: Organization
Organization Name: Colorado Seminary
Subpart: Yes (part of a larger organization)
Parent Organization: COLORADO SEMINARY
Primary Specialty: Psychologist
Enumeration Date: Feb 27, 2019
Last Updated: Feb 27, 2019

Practice Location

Address: 1999 E. EVANS AVENUE
Address 2: ATTN: ANDI PUSAVAT, KRH RM. 145
City: Denver
State: Colorado
ZIP Code: 80208
Phone: (303) 871-3230

Authorized Official

Name: ANDREA PUSAVAT, PHD
Title: CLINIC DIRECTOR
Phone: (303) 871-3230

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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