Dorsey Psychological Services, Llc | |
12556 Beacon St Firestone CO 80504-5320 | |
(720) 954-2356 | |
Not Available |
Full Name | Dorsey Psychological Services, Llc |
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Speciality | Psychologist |
Location | 12556 Beacon St, Firestone, Colorado |
Authorized Official Name and Position | Katie Anne Dorsey (OWNER/PSYCHOLOGIST) |
Authorized Official Contact | 7209542356 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dorsey Psychological Services, Llc Po Box 1106 Firestone CO 80520-1106 Ph: (720) 954-2356 | Dorsey Psychological Services, Llc 12556 Beacon St Firestone CO 80504-5320 Ph: (720) 954-2356 |
NPI Number | 1154186005 |
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Provider Enumeration Date | 02/20/2024 |
Last Update Date | 02/20/2024 |
Certification Date | 02/20/2024 |
Medicare PECOS PAC ID | 1557705118 |
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Medicare Enrollment ID | O20240222000940 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154186005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
Provider Name | Katie Anne Dorsey |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1194194373 PECOS PAC ID: 9234533969 Enrollment ID: I20210803002095 |
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