MEDICARE: ASPEN PSYCHOLOGICAL SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1841069721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASPEN PSYCHOLOGICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	7176 E BENTLEY CIR
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-1194
Country	:	US
Telephone Number	:	303-517-4794
Fax Number	:

Provider Business Practice Location Address
First Line	:	6053 S QUEBEC ST STE 200
Second Line	:
City	:	CENTENNIAL
State	:	CO
Zip	:	80111-4505
Country	:	US
Telephone Number	:	720-663-0689
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST
Name	:	DR. LISA CHOO
Credential	:	PSY.D
Telephone Number	:	720-663-0689

Provider Enumeration Date	:	12/20/2023
Last Update Date	:	12/20/2023

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