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General NPI Number Information
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NPI Number | 1417862509
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Entity Type | Organization
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Legal Business Name | LITTLE BEAR PSYCHOLOGY, PLLC
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 2525 ARAPAHOE AVE
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City | BOULDER
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State | CO
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Zip | 80302-6720
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Country | US
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Telephone | 303-532-1763
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 ARAPAHOE AVE., UNIT E4, PMB 1298
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City | BOULDER
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State | CO
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Zip | 80302
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Country | US
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Telephone | 303-532-1763
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER
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Name | KRISTEN GRAY
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Credential | PHD
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Telephone | 303-532-1763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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