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General NPI Number Information
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NPI Number | 1881341667
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Entity Type | Organization
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Legal Business Name | SPECTRUM PSYCHOLOGICAL ASSESSMENT SERVICES OF COLORADO, PLLC
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Dates
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Enumeration Date | 03/02/2022
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 6055 LEHMAN DR STE 103
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-5486
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Country | US
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Telephone | 719-677-0600
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Fax | 719-677-0067
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Provider Business Mailing Address
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Address Line | 6547 N ACADEMY BLVD STE 1222
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-8342
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Country | US
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Telephone | 719-677-0060
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED PSYCHOLOGIST
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Name | DR. ALISON KENNEDY
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Credential | PSYD
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Telephone | 719-232-7770
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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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