MEDICARE: VICTORIA STROHMEYER PSYCHOTHERAPY

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	261QM0850X	Adult Mental Health Clinic/Center	NLC 0004771	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NLC0004771	OTHER	CO	STATE OF COLORADO DEPT. OF REGULATORY AGENCIES DIV. OF PROFESSIONS & OCCUPATIONS

General Provider Information

NPI Number	:	1669841037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VICTORIA STROHMEYER PSYCHOTHERAPY

Provider Business Mailing Address
First Line	:	39720 COUNTY ROAD 33
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-9715
Country	:	US
Telephone Number	:	970-819-7089
Fax Number	:

Provider Business Practice Location Address
First Line	:	39720 COUNTY ROAD 33
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-9715
Country	:	US
Telephone Number	:	970-819-7089
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VICTORIA STROHMEYER
Credential	:
Telephone Number	:	970-819-7089

Provider Enumeration Date	:	09/16/2015
Last Update Date	:	09/16/2015

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