Healthcare Provider Details

I. General information

NPI: 1477518348
Provider Name (Legal Business Name): PSYCHOLOGICAL & BIOFEEDBACK SERVICES OF COLORADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 POTOMAC CIR STE. 265
AURORA CO
80011-6750
US

IV. Provider business mailing address

830 POTOMAC CIR STE. 265
AURORA CO
80011-6750
US

V. Phone/Fax

Practice location:
  • Phone: 720-858-6403
  • Fax: 720-859-7780
Mailing address:
  • Phone: 720-858-6403
  • Fax: 720-859-7780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: YAVONNE SEYMOUR
Title or Position: BILLING COLLECTOR
Credential:
Phone: 303-341-4785