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NPI Code Detail

MEDICARE: CHRISTINA PLEJDRUP

MEDICARE:   CHRISTINA  PLEJDRUP
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
1106H00000XMarriage & Family Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558036939
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA PLEJDRUP
Provider Business Mailing Address
First Line : 9496 PORTMAR DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80927-9668
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4360 MONTEBELLO DR STE 400
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-7224
Country : US
Telephone Number : 719-331-6653
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2021
Last Update Date : 08/09/2021

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Directions to “ CHRISTINA PLEJDRUP ” Practice Location

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