MEDICARE: KATHRYN ELIZABETH TOUSLEY LCSW

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	1041C0700X	Clinical Social Worker	CSW.09927928	CO

General Provider Information

NPI Number	:	1548862550
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN ELIZABETH TOUSLEY LCSW

Provider Business Mailing Address
First Line	:	3920 N UNION BLVD STE 310
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4916
Country	:	US
Telephone Number	:	971-471-9992
Fax Number	:

Provider Business Practice Location Address
First Line	:	3920 N UNION BLVD STE 310
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-4916
Country	:	US
Telephone Number	:	719-471-9992
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2020
Last Update Date	:	03/22/2023

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