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NPI Code Detail

MEDICARE: MARIE DOHM

MEDICARE: MARIE DOHM
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1730647934
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE DOHM
Provider Business Mailing Address
First Line : 1309 OAK WAY AVE
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-4049
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1309 OAK WAY AVE
Second Line :
City : GLENWOOD SPRINGS
State : CO
Zip : 81601-4049
Country : US
Telephone Number : 805-277-3392
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2019
Last Update Date : 08/27/2021

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Directions to “ MARIE DOHM ” Practice Location

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