| Benjamin White Psychotherapy, Pllc | |
|
601 S Longmont Ave Lafayette CO 80026-1539 | |
| (970) 281-7727 | |
| Not Available |
| Full Name | Benjamin White Psychotherapy, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 601 S Longmont Ave, Lafayette, Colorado |
| Authorized Official Name and Position | Benjamin White (OWNER/MEMBER) |
| Authorized Official Contact | 9702817727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin White Psychotherapy, Pllc 601 S Longmont Ave Lafayette CO 80026-1539 Ph: () - | Benjamin White Psychotherapy, Pllc 601 S Longmont Ave Lafayette CO 80026-1539 Ph: (970) 281-7727 |
| NPI Number | 1265941595 |
|---|---|
| Provider Enumeration Date | 09/29/2017 |
| Last Update Date | 09/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265941595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSW.09924471 (Colorado) | Primary |
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