MEDICARE: LARA FALER-COHEN 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
1	103TC0700X	Clinical Psychologist	5737	CO

General Provider Information

NPI Number	:	1598135667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARA FALER-COHEN PSYD

Provider Business Mailing Address
First Line	:	6005 W 61ST AVE
Second Line	:
City	:	ARVADA
State	:	CO
Zip	:	80003-5607
Country	:	US
Telephone Number	:	617-599-0817
Fax Number	:

Provider Business Practice Location Address
First Line	:	11001 W 120TH AVE STE 400
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-3493
Country	:	US
Telephone Number	:	720-807-2919
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2015
Last Update Date	:	05/28/2026

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