Bryden Spevak, LSW
Social Worker, Clinical in Boulder, CO. Individual provider (NPI-1).
NPI number1174242572
StatusActive
Last updated in NPPESAug 26, 2022
Details
- NPI
- 1174242572
- Entity type
- Individual (NPI-1)
- Name
- Bryden Spevak
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 26, 2022
- Certification date
- Aug 26, 2022
- Last updated
- Aug 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LSW.0009923364 | CO | Yes |
Practice location
1942 Broadway Ste 314cBoulder, CO 80302-5233
Phone 440-212-5508
Mailing address
1942 Broadway Ste 314cBoulder, CO 80302-5233
Phone 440-212-5508
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