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NPI Code Detail

MEDICARE: NATHAN ALEXANDER BEATY PSYD

MEDICARE: NATHAN ALEXANDER BEATY 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
1103TC0700XClinical PsychologistPSY.0006907CO

General Provider Information

NPI Number : 1548946627
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN ALEXANDER BEATY PSYD
Provider Business Mailing Address
First Line : 5470 WATER TOWER PROMENADE APT 211
Second Line :
City : ARVADA
State : CO
Zip : 80002-3679
Country : US
Telephone Number : 269-921-2509
Fax Number :
Provider Business Practice Location Address
First Line : 1777 S BELLAIRE ST STE 390
Second Line :
City : DENVER
State : CO
Zip : 80222-4350
Country : US
Telephone Number : 720-515-4244
Fax Number : 720-441-0448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2023
Last Update Date : 12/17/2025

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