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NPI Code Detail

MEDICARE: ELYSSA JAMPOLSKY PSYD

MEDICARE:   ELYSSA  JAMPOLSKY  PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1487205423
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELYSSA JAMPOLSKY PSYD
Provider Business Mailing Address
First Line : 400 S MCCASLIN BLVD STE 121
Second Line :
City : SUPERIOR
State : CO
Zip : 80027-9701
Country : US
Telephone Number : 303-815-8981
Fax Number :
Provider Business Practice Location Address
First Line : 400 S MCCASLIN BLVD
Second Line : STE 121
City : LOUISVILLE
State : CO
Zip : 80027
Country : US
Telephone Number : 303-815-8981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2019
Last Update Date : 01/06/2026

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Directions to “ ELYSSA JAMPOLSKY PSYD” Practice Location

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