Individual provider · Type 1 NPI
Rae Sidereal De Lune, PSY.D.
Psychologist · Boulder, CO
Practice location
1209 Pearl St Ste 11
Boulder, CO 80302-5221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | PSY.0005082 (CO) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1396353231
Rae Sidereal De Lune, PSY.D.'s National Provider Identifier is 1396353231, issued on Jul 16, 2020. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Boulder, CO. The record was last updated on Nov 2, 2022.