| Centered Psychology | |
|
445 E Cheyenne Mountain Blvd Colorado Springs CO 80906-1528 | |
| (719) 349-5774 | |
| Not Available |
| Full Name | Centered Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 445 E Cheyenne Mountain Blvd, Colorado Springs, Colorado |
| Authorized Official Name and Position | Kimberly Koessel (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7193495772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centered Psychology 445 E. Cheyenne Mtn Blvd, Ste C #123 Colorado Springs CO 80906 Ph: () - | Centered Psychology 445 E Cheyenne Mountain Blvd Colorado Springs CO 80906-1528 Ph: (719) 349-5774 |
| NPI Number | 1326892829 |
|---|---|
| Provider Enumeration Date | 04/12/2024 |
| Last Update Date | 07/30/2024 |
| Certification Date | 07/30/2024 |
| Medicare PECOS PAC ID | 6204378995 |
|---|---|
| Medicare Enrollment ID | O20240610002205 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326892829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Kimberly Christine Koessel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609122365 PECOS PAC ID: 0446593552 Enrollment ID: I20190513001294 |
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