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NPI Code Detail

MEDICARE: BARBARA ELSTUN

MEDICARE:   BARBARA  ELSTUN
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
1101YM0800XMental Health Counselor18891CO
2104100000XSocial WorkerLSW.0009620082CO
31041S0200XSchool Social Worker59264CO

General Provider Information

NPI Number : 1326407586
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ELSTUN
Provider Business Mailing Address
First Line : 2140 ACADEMY CIR
Second Line : SUITE C
City : COLORADO SPRINGS
State : CO
Zip : 80909-1690
Country : US
Telephone Number : 179-445-9785
Fax Number : 719-637-1554
Provider Business Practice Location Address
First Line : 2140 ACADEMY CIR
Second Line : SUITE C
City : COLORADO SPRINGS
State : CO
Zip : 80909-1690
Country : US
Telephone Number : 179-445-9785
Fax Number : 719-637-1554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2016
Last Update Date : 02/16/2016

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Directions to “ BARBARA ELSTUN ” Practice Location

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