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NPI Code Detail

MEDICARE: DR. RON KREUL PH.D. MFT

MEDICARE: DR. RON KREUL PH.D. MFT
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 Therapist430CO

General Provider Information

NPI Number : 1700092749
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RON KREUL PH.D. MFT
Provider Business Mailing Address
First Line : 2131 ROWLEY AVE
Second Line :
City : MADISON
State : WI
Zip : 53726-3943
Country : US
Telephone Number : 608-238-3472
Fax Number :
Provider Business Practice Location Address
First Line : 3005 W 29TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-3701
Country : US
Telephone Number : 608-333-3472
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/08/2007

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