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Contact Information

A NEW LEAF THERAPY, LLC
315 COLORADO AVE
PUEBLO, CO81004-2046
 Phone: 719-948-7120
 Fax: 719-289-7144
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Adult Mental Health

261QM0850X
Indicates primary specialty

NPI Profile & details for A NEW LEAF THERAPY LLC · (Female)

NPI Number 1063868263
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2016
Last updated 05/06/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • CO License # PSY3290
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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