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General NPI Number Information
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NPI Number | 1245738657
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Entity Type | Organization
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Legal Business Name | COLORADO CBT PLLC
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Dates
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Enumeration Date | 01/31/2018
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 2727 BRYANT ST STE 210
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City | DENVER
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State | CO
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Zip | 80211-4152
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Country | US
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Telephone | 720-398-9971
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 BRYANT ST STE 210
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City | DENVER
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State | CO
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Zip | 80211-4152
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Country | US
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Telephone | 720-398-9971
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MEGAN ELLYSE MCKNIGHT
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Credential | PSYD
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Telephone | 720-398-9971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2016035608
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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