Healthcare Provider Details

I. General information

NPI: 1033233176
Provider Name (Legal Business Name): PSYCHOLOGICAL ASSOCIATES OF WESTERN CO. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 N 8TH ST STE 202
GRAND JUNCTION CO
81501-8858
US

IV. Provider business mailing address

2530 NORTH 8TH STREET SUITE #204
GRAND JUNCTION CO
81501-8858
US

V. Phone/Fax

Practice location:
  • Phone: 970-245-3505
  • Fax: 970-245-1766
Mailing address:
  • Phone: 970-245-3505
  • Fax: 970-245-1766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. TABITHA EMSLEY
Title or Position: OWNER
Credential: PSYD
Phone: 970-245-3505