| Dr Tara Alexander Lcsw Pc | |
|
3540 Austin Bluffs Pkwy Ste 3 Colorado Springs CO 80918-5750 | |
| (719) 310-0005 | |
| (719) 623-0222 |
| Full Name | Dr Tara Alexander Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 3540 Austin Bluffs Pkwy Ste 3, Colorado Springs, Colorado |
| Authorized Official Name and Position | Tara Alexander (OWNER) |
| Authorized Official Contact | 7193100005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tara Alexander Lcsw Pc 3540 Austin Bluffs Pkwy Ste 3 Colorado Springs CO 80918-5750 Ph: (719) 310-0005 | Dr Tara Alexander Lcsw Pc 3540 Austin Bluffs Pkwy Ste 3 Colorado Springs CO 80918-5750 Ph: (719) 310-0005 |
| NPI Number | 1104186972 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 07/23/2013 |
| Medicare PECOS PAC ID | 5890921480 |
|---|---|
| Medicare Enrollment ID | O20131204001904 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104186972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 991519 (Colorado) | Primary |
| Provider Name | Tara L Alexander |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831135144 PECOS PAC ID: 1759356801 Enrollment ID: I20040901000046 |
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