Poudre Valley Medical Group, Llc

Psychiatry · Colorado Springs, CO

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At a glance

1400 E Boulder St Ste 1200, Colorado Springs, CO 80909-5533

NPPES record updated Jul 6, 2021. Public records can lag behind changes at a practice.

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Practice location

1400 E Boulder St Ste 1200
Colorado Springs, CO 80909-5533
Professional details: NPI, taxonomy & registry record
NPI1861063471
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Registry details

Primary taxonomy
Psychiatry
Taxonomy code
2084P0800X
Enumeration date
Jul 6, 2021
Record updated
Jul 6, 2021
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101YP2500X

Psychologist

103T00000X

Clinical Social Worker

1041C0700X

Specialty details in registry

106H00000X

Psychiatry

2084P0800X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1400 E Boulder St Ste 1200
Colorado Springs, CO 80909-5533
Phone
(719) 365-7905
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150

LOVELAND, CO 805389071
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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