| Associates For Psychotherapy And Education, Pc | |
|
924 Indiana Ave Pueblo CO 81004-3747 | |
| (719) 564-9039 | |
| (719) 561-8752 |
| Full Name | Associates For Psychotherapy And Education, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 924 Indiana Ave, Pueblo, Colorado |
| Authorized Official Name and Position | Susanne Baker (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7195649039 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates For Psychotherapy And Education, Pc 924 Indiana Ave Pueblo CO 81004-3747 Ph: (719) 564-9039 | Associates For Psychotherapy And Education, Pc 924 Indiana Ave Pueblo CO 81004-3747 Ph: (719) 564-9039 |
| NPI Number | 1356366132 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5799674909 |
|---|---|
| Medicare Enrollment ID | O20040315000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356366132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| Provider Name | Annette Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467474742 PECOS PAC ID: 7719975689 Enrollment ID: I20040501000223 |
| Provider Name | Tom E Tafoya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285094599 PECOS PAC ID: 1153385505 Enrollment ID: I20041116000030 |
| Provider Name | Shonda Hill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093145369 PECOS PAC ID: 2961748405 Enrollment ID: I20190104000531 |
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