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NPI Code Detail

MEDICARE: ANNE ELIZABETH RECKLING PSY.D.

MEDICARE: ANNE ELIZABETH RECKLING PSY.D.
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
1103T00000XPsychologist

General Provider Information

NPI Number : 1689922791
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNE ELIZABETH RECKLING PSY.D.
Provider Business Mailing Address
First Line : 3500 JOHN F KENNEDY PKWY STE 200
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-2635
Country : US
Telephone Number : 614-216-1743
Fax Number :
Provider Business Practice Location Address
First Line : 4435 RONALD REAGAN BLVD
Second Line :
City : JOHNSTOWN
State : CO
Zip : 80534-6566
Country : US
Telephone Number : 970-619-8139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2012
Last Update Date : 01/04/2021

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