Healthcare Provider Details

I. General information

NPI: 1629991195
Provider Name (Legal Business Name): KLINE PSYCHOLOGY L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3092 EVERGREEN PKWY STE 202
EVERGREEN CO
80439-7849
US

IV. Provider business mailing address

3092 EVERGREEN PKWY STE 202
EVERGREEN CO
80439-7849
US

V. Phone/Fax

Practice location:
  • Phone: 303-800-7562
  • Fax:
Mailing address:
  • Phone: 303-800-7562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. BREANNE LYNN KLINE
Title or Position: FOUNDER
Credential: PSYD
Phone: 303-800-7562