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NPI Code Detail

MEDICARE: MEGAN MARTINEZ

MEDICARE: MEGAN MARTINEZ
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
1103TC1900XCounseling Psychologist

General Provider Information

NPI Number : 1093325003
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN MARTINEZ
Provider Business Mailing Address
First Line : 14359 W 1ST PL
Second Line :
City : GOLDEN
State : CO
Zip : 80401-5343
Country : US
Telephone Number :
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 : 719-221-4994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2020
Last Update Date : 08/04/2020

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Directions to “ MEGAN MARTINEZ ” Practice Location

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