Phimphasone-Brady, Phouthdavone

Phimphasone-Brady, Phouthdavone is an individual health care provider with primary practice located at 13001 E 17Th Pl Fl 2 , Aurora CO 80045-2570. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Phimphasone-Brady, Phouthdavone can be contacted via phone (303) 724-1000.

Contact Information

Primary practice address
13001 E 17Th Pl Fl 2 Aurora CO 80045-2570
Phone: (303) 724-1000
Fax: (303) 724-9472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X PSYC.0005074 Colorado
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSYC.0005074 Colorado

Profile Details

NPI number 1821501552
LBN Legal business name Phimphasone-Brady, Phouthdavone
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2017
Last updated Jan 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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