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NPI Code Detail

MEDICARE: MRS. MEGAN LYNN VANHOUTTE LCSW

MEDICARE: MRS. MEGAN LYNN VANHOUTTE LCSW
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
11041C0700XClinical Social Worker993073CO

General Provider Information

NPI Number : 1396820569
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN LYNN VANHOUTTE LCSW
Provider Business Mailing Address
First Line : 11059 E BETHANY DR STE 200
Second Line :
City : AURORA
State : CO
Zip : 80014-2637
Country : US
Telephone Number : 303-617-2300
Fax Number : 303-617-2398
Provider Business Practice Location Address
First Line : 1646 ELMIRA ST
Second Line :
City : AURORA
State : CO
Zip : 80010-2122
Country : US
Telephone Number : 303-617-2663
Fax Number : 303-617-2498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 07/08/2007

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