Provider Demographics
NPI:1518902402
Name:RIPPETH, JULIE DENISE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:DENISE
Last Name:RIPPETH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4820 RUSINA RD STE C
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-8127
Mailing Address - Country:US
Mailing Address - Phone:720-339-1931
Mailing Address - Fax:866-830-8582
Practice Address - Street 1:4820 RUSINA RD STE C
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-8127
Practice Address - Country:US
Practice Address - Phone:720-339-1931
Practice Address - Fax:866-830-8582
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2933103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist