Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | 2473 | CO |
NPI | 1598355133 |
---|---|
Provider Name | Kristin Nicholas Vaver |
First Address | Lafayette, CO 80026-9388 |
Second Address | Louisville, CO 80027-9459 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2021 |
Last Update Date | 18/01/2021 |