| Annie H Richardson, Llc | |
|
275 Century Cir Ste 203 Louisville CO 80027-9453 | |
| (720) 446-8408 | |
| Not Available |
| Full Name | Annie H Richardson, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 275 Century Cir Ste 203, Louisville, Colorado |
| Authorized Official Name and Position | Annie Hunt Richardson (OWNER) |
| Authorized Official Contact | 7204468408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Annie H Richardson, Llc Po Box 856 Lafayette CO 80026-0856 Ph: (720) 446-8408 | Annie H Richardson, Llc 275 Century Cir Ste 203 Louisville CO 80027-9453 Ph: (720) 446-8408 |
| NPI Number | 1033871470 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 0941694335 |
|---|---|
| Medicare Enrollment ID | O20220301000983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033871470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anne Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316373988 PECOS PAC ID: 3476947862 Enrollment ID: I20220301001115 |
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