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NPI Code Detail

MEDICARE: DEBORAH PRATT ESSERT PH.D.

MEDICARE: DEBORAH PRATT ESSERT 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
1101YM0800XMental Health Counselor
2103TC1900XCounseling PsychologistPSY.004934CO

General Provider Information

NPI Number : 1841315603
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH PRATT ESSERT PH.D.
Provider Business Mailing Address
First Line : 1876 CAMPUS DELIVERY COLORADO STATE UNIVERSITY
Second Line :
City : FORT COLLINS
State : CO
Zip : 80523-1876
Country : US
Telephone Number : 970-491-5009
Fax Number : 970-491-3380
Provider Business Practice Location Address
First Line : 6850 UPPER BOX ELDER RD
Second Line :
City : BOX ELDER
State : MT
Zip : 59521-9073
Country : US
Telephone Number : 406-395-1618
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 04/01/2021

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