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NPI Code Detail

MEDICARE: SHARLA MACY LMFT

MEDICARE: SHARLA MACY LMFT
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
1106H00000XMarriage & Family Therapist186CO

General Provider Information

NPI Number : 1407877525
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARLA MACY LMFT
Provider Business Mailing Address
First Line : 2595 SPRUCE ST
Second Line : SUITE B
City : BOULDER
State : CO
Zip : 80302-3806
Country : US
Telephone Number : 720-304-2731
Fax Number :
Provider Business Practice Location Address
First Line : 2595 SPRUCE ST
Second Line : SUITE B
City : BOULDER
State : CO
Zip : 80302-3806
Country : US
Telephone Number : 720-304-2731
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2006
Last Update Date : 02/23/2010

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Directions to “ SHARLA MACY LMFT” Practice Location

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