Basic Information
| Provider Information | |||||||||
| NPI: | 1932219284 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | USELDING | ||||||||
| FirstName: | JUSTINE | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | PH.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5310 WARD ROAD | ||||||||
| Address2: | SUITE 106 | ||||||||
| City: | ARVADA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800021829 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8778384783 | ||||||||
| FaxNumber: | 8773453501 | ||||||||
| Practice Location | |||||||||
| Address1: | 7045 STUART ST | ||||||||
| Address2: | |||||||||
| City: | WESTMINSTER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800305820 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034277045 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 04/29/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 2789 | CO | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | 32845 | TX | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103TC0700X | 099727 | IA | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.