Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 0110910 | CO |
Y | 103T00000X | Psychologist | 0110910 | CO |
NPI | 1003438318 |
---|---|
Provider Name | Skyler Grace Franzen |
First Address | Saint Cloud, FL 34772-7007 |
Second Address | Colorado Springs, CO 80921-3864 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2020 |
Last Update Date | 08/05/2020 |