| Claire Thomas-duckwitz, Ph.d. Llc | |
|
2350 17th Avenue Unit 104 Longmont CO 80503 | |
| (719) 660-8346 | |
| (866) 757-5778 |
| Full Name | Claire Thomas-duckwitz, Ph.d. Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2350 17th Avenue, Longmont, Colorado |
| Authorized Official Name and Position | Claire Thomas-duckwitz (OWNER/MBR) |
| Authorized Official Contact | 7196608346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Claire Thomas-duckwitz, Ph.d. Llc Po Box 51 Lyons CO 80540-0051 Ph: (719) 660-8346 | Claire Thomas-duckwitz, Ph.d. Llc 2350 17th Avenue Unit 104 Longmont CO 80503 Ph: (719) 660-8346 |
| NPI Number | 1720470404 |
|---|---|
| Provider Enumeration Date | 03/04/2015 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720470404 | NPI | - | NPPES |
| 06108768 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4035 (Colorado) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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