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NPI Code Detail

MEDICARE: MR. CLYDE FRANKLIN CHAMBERS MA

MEDICARE: MR. CLYDE FRANKLIN CHAMBERS MA
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 Counselor321CO
2106H00000XMarriage & Family Therapist321CO

General Provider Information

NPI Number : 1467538587
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CLYDE FRANKLIN CHAMBERS MA
Provider Business Mailing Address
First Line : 11059 E BETHANY DR
Second Line : SUITE 200
City : AURORA
State : CO
Zip : 80014-2622
Country : US
Telephone Number : 303-617-2323
Fax Number :
Provider Business Practice Location Address
First Line : 1646 ELMIRA ST
Second Line :
City : AURORA
State : CO
Zip : 80010-2122
Country : US
Telephone Number : 303-617-2424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2006
Last Update Date : 03/07/2016

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