Provider Demographics
NPI:1477518348
Name:PSYCHOLOGICAL & BIOFEEDBACK SERVICES OF COLORADO
Entity Type:Organization
Organization Name:PSYCHOLOGICAL & BIOFEEDBACK SERVICES OF COLORADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COLLECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YAVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEYMOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-341-4785
Mailing Address - Street 1:830 POTOMAC CIR
Mailing Address - Street 2:STE. 265
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011-6750
Mailing Address - Country:US
Mailing Address - Phone:720-858-6403
Mailing Address - Fax:720-859-7780
Practice Address - Street 1:830 POTOMAC CIR
Practice Address - Street 2:STE. 265
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-6750
Practice Address - Country:US
Practice Address - Phone:720-858-6403
Practice Address - Fax:720-859-7780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty