Dr Sunda Friedman Tebockhorst, PHD is a
Psychologist based in Boulder, Colorado. Dr Sunda Friedman Tebockhorst is licensed to practice in Colorado (license number 4121) and her current practice location is
6680 Gunpark Dr, Suite 200, Boulder, Colorado. She can be reached at her office (for appointments etc.) via phone at
(720) 387-8458.
NPI number for Dr Sunda Friedman Tebockhorst is 1730360983 and her current mailing address is 6680 Gunpark Dr, Suite 200, Boulder, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730360983.
Healthcare Provider's Profile
| Full Name | Dr Sunda Friedman Tebockhorst |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | 6680 Gunpark Dr, Boulder, Colorado |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1730360983
- Provider Enumeration Date: 11/15/2007
- Last Update Date: 09/22/2014
Medical Identifiers
Medical identifiers for Dr Sunda Friedman Tebockhorst such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730360983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 4820 (Colorado) | Secondary |
| 101YM0800X | Counselor - Mental Health | 4820 (Colorado) | Secondary |
| 101YP2500X | Counselor - Professional | 4820 (Colorado) | Secondary |
| 103T00000X | Psychologist | 4121 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sunda Friedman Tebockhorst is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Sunda Friedman Tebockhorst, PHD
6680 Gunpark Dr, Suite 200,
Boulder, CO 80301-3349
Ph: (720) 387-8458 | Dr Sunda Friedman Tebockhorst, PHD
6680 Gunpark Dr, Suite 200,
Boulder, CO 80301-3349
Ph: (720) 387-8458 |
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