NPI 1285190751 · live from the CMS NPI Registry
Advanced Trauma Recovery LLC
Psychologist, Clinical in Castle Rock, CO. National Provider Identifier 1285190751, active.
NPI record
| NPI | 1285190751 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 755 Maleta Ln Ste 202, Castle Rock, CO 80108 |
| Practice phone | 949-233-5358 |
| Enumerated | February 20, 2019 |
| Last updated | February 20, 2019 |
| Authorized official | Mercedes Lavoy, Clinical Psychologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.