| Dr Carol Jean Good P.c. | |
|
2975 Valmont Rd Ste 310 Boulder CO 80301-1361 | |
| (303) 447-8227 | |
| (303) 447-1427 |
| Full Name | Dr Carol Jean Good P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2975 Valmont Rd Ste 310, Boulder, Colorado |
| Authorized Official Name and Position | Carol Jean Good (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3034478227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carol Jean Good P.c. 2975 Valmont Rd Ste 310 Boulder CO 80301-1361 Ph: (303) 447-8227 | Dr Carol Jean Good P.c. 2975 Valmont Rd Ste 310 Boulder CO 80301-1361 Ph: (303) 447-8227 |
| NPI Number | 1396181418 |
|---|---|
| Provider Enumeration Date | 05/15/2013 |
| Last Update Date | 05/28/2013 |
| Medicare PECOS PAC ID | 9335388008 |
|---|---|
| Medicare Enrollment ID | O20130611000105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396181418 | NPI | - | NPPES |
| 07019839 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1983 (Colorado) | Primary |
| Provider Name | Carol J Good |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518062496 PECOS PAC ID: 5698724912 Enrollment ID: I20050113000627 |
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