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NPI 1831076777

NPI 1831076777 : AUTISM DIAGNOSTIC SERVICES OF COLORADO, PC : DENVER, CO

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General NPI Number Information
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    NPI Number           |    1831076777
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    Entity Type          |    Organization 
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    Legal Business Name  |    AUTISM DIAGNOSTIC SERVICES OF COLORADO, PC 
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Dates
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    Enumeration Date     |    08/20/2025
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    4380 S SYRACUSE ST STE 502 
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    City                 |    DENVER
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    State                |    CO
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    Zip                  |    80237-2628
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    Country              |    US
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    Telephone            |    855-295-3276
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    Fax                  |    888-588-2752
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Provider Business Mailing Address
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    Address Line         |    1333 S MAYFLOWER AVE STE 220 
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    City                 |    MONROVIA
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    State                |    CA
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    Zip                  |    91016-5239
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    Country              |    US
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    Telephone            |    818-241-6780
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    Fax                  |    888-588-2752
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Authorized Official
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    Title or Position    |    CLINICAL PSYCHOLOGIST
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    Name                 |     LISA  RHEE 
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    Credential           |    DR
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    Telephone            |    818-241-6780
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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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