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General NPI Number Information
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NPI Number | 1669346573
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Entity Type | Individual
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Provider Name | CARLA FRIEDLI PH.D. PSYCHOLOGY
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Gender | Female
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 5890 PROSPECT RD
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City | LONGMONT
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State | CO
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Zip | 80503-9046
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Country | US
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Telephone | 303-746-0994
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Fax |
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Provider Business Mailing Address
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Address Line | 5890 PROSPECT RD
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City | LONGMONT
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State | CO
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Zip | 80503-9046
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Country | US
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Telephone | 303-746-0994
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 24461587
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | PSYC.00015369
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License Number State | CO
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