Carris Psychological Services Pc | |
743 Horizon Ct Suite 368 Grand Junction CO 81506-8701 | |
(970) 712-9797 | |
(970) 241-9292 |
Full Name | Carris Psychological Services Pc |
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Speciality | Psychologist |
Location | 743 Horizon Ct, Grand Junction, Colorado |
Authorized Official Name and Position | Melissa J. Carris (OWNER / CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 9707129797 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Carris Psychological Services Pc 743 Horizon Ct Suite 368 Grand Junction CO 81506-8701 Ph: (970) 712-9797 | Carris Psychological Services Pc 743 Horizon Ct Suite 368 Grand Junction CO 81506-8701 Ph: (970) 712-9797 |
NPI Number | 1619272689 |
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Provider Enumeration Date | 01/21/2011 |
Last Update Date | 05/09/2014 |
Medicare PECOS PAC ID | 5698954246 |
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Medicare Enrollment ID | O20110127001029 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619272689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 2831 (Colorado) | Primary |
Provider Name | Melissa J Carris |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1245318484 PECOS PAC ID: 9931388584 Enrollment ID: I20110127001050 |
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