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NPI Code Detail

MEDICARE: MR. STEVEN RICHARD MELDAHL MA LPC

MEDICARE: MR. STEVEN RICHARD MELDAHL MA LPC
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
1101YP2500XProfessional CounselorLPC 5549CO

General Provider Information

NPI Number : 1336471648
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN RICHARD MELDAHL MA LPC
Provider Business Mailing Address
First Line : 3258 SWADLEY ST
Second Line :
City : WHEAT RIDGE
State : CO
Zip : 80033-5313
Country : US
Telephone Number : 720-364-2053
Fax Number : 303-320-4290
Provider Business Practice Location Address
First Line : 1295 YORK ST
Second Line :
City : DENVER
State : CO
Zip : 80206-3008
Country : US
Telephone Number : 303-320-3790
Fax Number : 303-320-4290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2010
Last Update Date : 02/11/2010

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