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NPI Code Detail

MEDICARE: MARK SCHULTHEISS LMFT

MEDICARE:   MARK  SCHULTHEISS  LMFT
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
1106H00000XMarriage & Family Therapist604CO

General Provider Information

NPI Number : 1275501306
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK SCHULTHEISS LMFT
Provider Business Mailing Address
First Line : 1501 CLEVELAND AVE
Second Line :
City : LOVELAND
State : CO
Zip : 80538-3835
Country : US
Telephone Number : 970-495-4604
Fax Number : 970-663-5601
Provider Business Practice Location Address
First Line : 1501 CLEVELAND AVE
Second Line :
City : LOVELAND
State : CO
Zip : 80538-3835
Country : US
Telephone Number : 970-495-4604
Fax Number : 970-663-5601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 07/08/2007

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Directions to “ MARK SCHULTHEISS LMFT” Practice Location

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