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NPI Code Detail

MEDICARE: COLORADO THERAPY & ASSESSMENT CENTER

MEDICARE: COLORADO THERAPY & ASSESSMENT CENTER
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
1103TC0700XClinical PsychologistPSY4238CO

General Provider Information

NPI Number : 1932560828
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLORADO THERAPY & ASSESSMENT CENTER
Provider Business Mailing Address
First Line : 1777 S BELLAIRE ST STE 390
Second Line :
City : DENVER
State : CO
Zip : 80222-4350
Country : US
Telephone Number : 720-515-4244
Fax Number :
Provider Business Practice Location Address
First Line : 1777 S BELLAIRE ST STE 390
Second Line :
City : DENVER
State : CO
Zip : 80222-4350
Country : US
Telephone Number : 720-515-4244
Fax Number :
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : SARA LYNN ROSE
Credential :
Telephone Number : 720-515-4244
Provider Enumeration Date : 03/19/2016
Last Update Date : 06/24/2024

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Directions to “COLORADO THERAPY & ASSESSMENT CENTER ” Practice Location

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