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NPI Code Detail

MEDICARE: PINWHEEL PSYCHOLOGICAL SERVICES, PLLC

MEDICARE: PINWHEEL PSYCHOLOGICAL SERVICES, PLLC
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
1103TB0200XCognitive & Behavioral Psychologist4575CO
2103TC2200XClinical Child & Adolescent Psychologist4575CO
3103TS0200XSchool Psychologist4575CO
4103T00000XPsychologist4575CO

General Provider Information

NPI Number : 1679002612
Entity Type Code : Organization
Provider Name (Legal Business Name) : PINWHEEL PSYCHOLOGICAL SERVICES, PLLC
Provider Business Mailing Address
First Line : 6050 STETSON HILLS BLVD # 111
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80923-3562
Country : US
Telephone Number : 719-208-6331
Fax Number :
Provider Business Practice Location Address
First Line : 3225 TEMPLETON GAP RD STE 212
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-8714
Country : US
Telephone Number : 719-208-6331
Fax Number : 719-423-6348
Authorized Official
Title or Position : LICENSED PSYCHOLOGIST
Name : DR. JENNIFER MARIE HILL
Credential : PHD
Telephone Number : 719-208-6331
Provider Enumeration Date : 06/04/2017
Last Update Date : 04/12/2022

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Practice Fax: 719-423-6348

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