| Courage Psychological Services, Inc. | |
|
1801 I 70 Business Loop Ste B5 Grand Jct CO 81501-8002 | |
| (970) 245-3212 | |
| (970) 245-3216 |
| Full Name | Courage Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1801 I 70 Business Loop Ste B5, Grand Jct, Colorado |
| Authorized Official Name and Position | Suzanne Goudzwaard (OWNER) |
| Authorized Official Contact | 9702453212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Courage Psychological Services, Inc. 1801 I 70 Business Loop Ste B5 Grand Jct CO 81501-8002 Ph: (970) 245-3212 | Courage Psychological Services, Inc. 1801 I 70 Business Loop Ste B5 Grand Jct CO 81501-8002 Ph: (970) 245-3212 |
| NPI Number | 1568976900 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 12/22/2021 |
| Certification Date | 12/22/2021 |
| Medicare PECOS PAC ID | 6406111426 |
|---|---|
| Medicare Enrollment ID | O20180522002925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568976900 | NPI | - | NPPES |
| 62926209 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0003955 (Colorado) | Primary |
| Provider Name | Suzanne J Goudzwaard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700168184 PECOS PAC ID: 3779716162 Enrollment ID: I20140509001556 |
| Provider Name | Newton J Trowbridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174281448 PECOS PAC ID: 1254781859 Enrollment ID: I20231222000389 |
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