Source Psychiatry, PC
Source Psychiatry, PC is a Psychiatry Physician in Boulder, Colorado. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1942 Broadway Ste 314CBoulder, CO 80302-5233
Phone: (720) 310-0656
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X |
|---|
Record details
| NPI number | 1215606918 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Audrey Hinshaw — Practice Manager · (720) 310-0656 |
| NPI enumerated | September 7, 2021 |
| Last updated in NPPES | September 7, 2021 |
| Certification date | September 7, 2021 |
| Mailing address | 1942 Broadway Ste 314c, Boulder, CO 80302-5233 |
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