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NPI Code Detail

MEDICARE: DR. HEATHER L. STEFFEN PSYD

MEDICARE: DR. HEATHER L. STEFFEN PSYD
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
1103TH0004XHealth Psychologist
2103T00000XPsychologist0003610CO

General Provider Information

NPI Number : 1457539603
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER L. STEFFEN PSYD
Provider Business Mailing Address
First Line : 4770 BASELINE RD
Second Line : STE 200
City : BOULDER
State : CO
Zip : 80303-2668
Country : US
Telephone Number : 720-893-0842
Fax Number : 617-507-1426
Provider Business Practice Location Address
First Line : 4770 BASELINE RD STE 200
Second Line :
City : BOULDER
State : CO
Zip : 80303-2668
Country : US
Telephone Number : 720-893-0842
Fax Number : 617-507-1426
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2008
Last Update Date : 04/17/2020

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