Nicole Cerutti Yazdi, MA, R-DMT, LCAT-LP is a
Dance Therapist based in Boulder, Colorado. Nicole Cerutti Yazdi is licensed to practice in * (Not Available) (license number R-DMT-2266) and her current practice location is
1150 Maxwell Ave Ste 200, Boulder, Colorado. She can be reached at her office (for appointments etc.) via phone at
(800) 261-0127.
NPI number for Nicole Cerutti Yazdi is 1083123574 and her current mailing address is 1150 Maxwell Ave Ste 200, Boulder, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083123574.
Healthcare Provider's Profile
| Full Name | Nicole Cerutti Yazdi |
|---|
| Gender | Female |
|---|
| Speciality | Dance Therapist |
|---|
| Location | 1150 Maxwell Ave Ste 200, Boulder, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083123574
- Provider Enumeration Date: 09/27/2017
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Nicole Cerutti Yazdi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083123574 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225600000X | Dance Therapist | R-DMT-2266 (* (Not Available)) | 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. Nicole Cerutti Yazdi 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 |
|---|
Nicole Cerutti Yazdi, MA, R-DMT, LCAT-LP
1150 Maxwell Ave Ste 200,
Boulder, CO 80304-4185
Ph: (800) 261-0127 | Nicole Cerutti Yazdi, MA, R-DMT, LCAT-LP
1150 Maxwell Ave Ste 200,
Boulder, CO 80304-4185
Ph: (800) 261-0127 |
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