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NPI Code Detail

MEDICARE: DR. AMY R INDERMUEHLE PSYD

MEDICARE: DR. AMY R INDERMUEHLE 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
1103T00000XPsychologist2821CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2671759OTHERCOANTHEM BCBS PROVIDER NUM

General Provider Information

NPI Number : 1689609968
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY R INDERMUEHLE PSYD
Provider Business Mailing Address
First Line : 109 CORONADO CT
Second Line : BUILDING 7
City : FORT COLLINS
State : CO
Zip : 80525-4929
Country : US
Telephone Number : 970-222-0524
Fax Number :
Provider Business Practice Location Address
First Line : 109 CORONADO CT
Second Line : BUILDING 7
City : FORT COLLINS
State : CO
Zip : 80525-4929
Country : US
Telephone Number : 970-676-3395
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 08/15/2023

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