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General NPI Number Information
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NPI Number | 1184899809
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Entity Type | Individual
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Provider Name | KRISTIN HENLEY PRICE PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 18230 EAST SILVER CREEK STREET BLDG 392, MDG SOUTH
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City | BUCKLEY SFB
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State | CO
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Zip | 80011
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Country | US
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Telephone | 720-847-6451
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Fax |
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Provider Business Mailing Address
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Address Line | 18230 E SILVER CREEK AVE BLDG 392
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City | BUCKLEY AFB
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State | CO
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Zip | 80011-9501
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Country | US
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Telephone | 720-847-6451
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY003183
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY.0003722
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY-3722
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License Number State | CO
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