Provider First Line Business Practice Location Address:
PROFESSIONAL PSYCHOLOGY CLINIC
Provider Second Line Business Practice Location Address:
2450 S. VINE ST.
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80208-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-871-3625
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/05/2013