| Altos Performance Psychology | |
|
13405 Cedarville Way Colorado Springs CO 80921-7641 | |
| (719) 393-2027 | |
| Not Available |
| Full Name | Altos Performance Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 13405 Cedarville Way, Colorado Springs, Colorado |
| Authorized Official Name and Position | Susan Ann Varady (PRESIDENT/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7193932027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altos Performance Psychology 13405 Cedarville Way Colorado Springs CO 80921-7641 Ph: (719) 393-2027 | Altos Performance Psychology 13405 Cedarville Way Colorado Springs CO 80921-7641 Ph: (719) 393-2027 |
| NPI Number | 1073901237 |
|---|---|
| Provider Enumeration Date | 12/22/2014 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Medicare PECOS PAC ID | 9638493794 |
|---|---|
| Medicare Enrollment ID | O20150120000642 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073901237 | NPI | - | NPPES |
| 1427217991 | Other | NPI | |
| 261081 | Other | CO | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3702 (Colorado) | Primary |
| Provider Name | Susan Ann Varady |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427217991 PECOS PAC ID: 2365496114 Enrollment ID: I20130219000009 |
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