MEDICARE: DR. SARKA TURECKA BROWN PSY.D.

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
1	101YM0800X	Mental Health Counselor
2	103TC0700X	Clinical Psychologist	5626	CO
3	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1275903221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARKA TURECKA BROWN PSY.D.

Provider Business Mailing Address
First Line	:	255 CANYON BLVD STE 200
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80302-4954
Country	:	US
Telephone Number	:	720-619-1244
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 CANYON BLVD STE 200
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80302-4954
Country	:	US
Telephone Number	:	720-619-1244
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2015
Last Update Date	:	02/13/2024

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