OrganizationActive
Your Pediatric Psychologist, LLC
NPI 1407461189 · Health Psychologist · Denver, CO
Provider details
- NPI number
- 1407461189
- Entity type
- Organization
- Primary specialty
- Health PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jinsoon Lee, Pediatric Health Psychologist(720) 515-2535
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
Practice location
1700 E 17th Ave
Denver, CO 80218-1668
Phone: (720) 515-2535
Approximate (ZIP-level) locationGet directions
Mailing address
6140 S Gun Club Rd # K6-353
Aurora, CO 80016-5306
Registry dates
- Enumerated
- 2020-09-10
- Last updated
- 2020-09-14
- Certified
- 2020-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.