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NPI Code Detail

MEDICARE: DR. MARIA ELSA CANYON MEYER PSYD

MEDICARE: DR. MARIA ELSA CANYON MEYER 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
1101YM0800XMental Health Counselor
2390200000XStudent in an Organized Health Care Education/Training ProgramNM
3103TC0700XClinical Psychologist0005954CO

General Provider Information

NPI Number : 1720597479
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARIA ELSA CANYON MEYER PSYD
Provider Business Mailing Address
First Line : 950 N LOGAN ST STE 101
Second Line :
City : DENVER
State : CO
Zip : 80203-3186
Country : US
Telephone Number : 303-834-1026
Fax Number :
Provider Business Practice Location Address
First Line : 950 N LOGAN ST STE 101
Second Line :
City : DENVER
State : CO
Zip : 80203-3186
Country : US
Telephone Number : 303-834-1026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2017
Last Update Date : 11/07/2022

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