MEDICARE: MARIANA LUCCHESA NALDI PH.D.

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	PSY.0006260	CO

General Provider Information

NPI Number	:	1619286317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIANA LUCCHESA NALDI PH.D.

Provider Business Mailing Address
First Line	:	1325 S COLORADO BLVD STE B-108
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-3303
Country	:	US
Telephone Number	:	720-443-2712
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 S COLORADO BLVD STE B-108
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-3303
Country	:	US
Telephone Number	:	720-443-2712
Fax Number	:

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

Provider Enumeration Date	:	09/28/2010
Last Update Date	:	05/26/2026

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