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NPI Code Detail

MEDICARE: DR. EVA PASTALKOVA PH.D.

MEDICARE:  DR. EVA  PASTALKOVA  PH.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
1103T00000XPsychologistP121589NY
2103T00000XPsychologist0810008461VA
3103T00000XPsychologistPSY.0006533CO

General Provider Information

NPI Number : 1497501175
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EVA PASTALKOVA PH.D.
Provider Business Mailing Address
First Line : 35 W MAIN ST UNIT 2941
Second Line :
City : FRISCO
State : CO
Zip : 80443-6749
Country : US
Telephone Number : 540-236-4504
Fax Number :
Provider Business Practice Location Address
First Line : 1115 ELKTON DR STE 102
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-3597
Country : US
Telephone Number : 719-357-6471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2024
Last Update Date : 04/08/2026

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Directions to “ DR. EVA PASTALKOVA PH.D.” Practice Location

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