| Charleanea M. Arellano, Ph.d., Llc | |
|
12687 Locust Way Thornton CO 80602-4664 | |
| (720) 933-0318 | |
| (303) 254-9708 |
| Full Name | Charleanea M. Arellano, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 12687 Locust Way, Thornton, Colorado |
| Authorized Official Name and Position | Charleanea M Arellano (OWNER/MANAGING MEMBER) |
| Authorized Official Contact | 2079330318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleanea M. Arellano, Ph.d., Llc 12687 Locust Way Thornton CO 80602-4664 Ph: (720) 933-0318 | Charleanea M. Arellano, Ph.d., Llc 12687 Locust Way Thornton CO 80602-4664 Ph: (720) 933-0318 |
| NPI Number | 1558847871 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 07/19/2018 |
| Medicare PECOS PAC ID | 0547519290 |
|---|---|
| Medicare Enrollment ID | O20180814002466 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558847871 | NPI | - | NPPES |
| 1174551089 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1902 (Colorado) | Primary |
| Provider Name | Charleanea M. Arellano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174551089 PECOS PAC ID: 1456600105 Enrollment ID: I20180814002561 |
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