MEDICARE: COLORADO CBT PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	2016035608	MO
2	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1245738657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLORADO CBT PLLC

Provider Business Mailing Address
First Line	:	2727 BRYANT ST STE 210
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4152
Country	:	US
Telephone Number	:	720-398-9971
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 BRYANT ST STE 210
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80211-4152
Country	:	US
Telephone Number	:	720-398-9971
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MEGAN ELLYSE MCKNIGHT
Credential	:	PSYD
Telephone Number	:	720-398-9971

Provider Enumeration Date	:	01/31/2018
Last Update Date	:	01/27/2022

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Directions to “COLORADO CBT PLLC ” Practice Location

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