| Elk Mountain Group | |
|
475 Lewis Street Suite 206 Pagosa Springs CO 81147 | |
| (970) 946-9001 | |
| Not Available |
| Full Name | Elk Mountain Group |
|---|---|
| Speciality | Psychologist |
| Location | 475 Lewis Street, Pagosa Springs, Colorado |
| Authorized Official Name and Position | Ron Parker (PRESIDENT) |
| Authorized Official Contact | 9702640022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Mountain Group 220 N Cougar Ct Pagosa Springs CO 81147-8527 Ph: () - | Elk Mountain Group 475 Lewis Street Suite 206 Pagosa Springs CO 81147 Ph: (970) 946-9001 |
| NPI Number | 1841473964 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 08/02/2008 |
| Medicare PECOS PAC ID | 1850280793 |
|---|---|
| Medicare Enrollment ID | O20040310001509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841473964 | NPI | - | NPPES |
| 485238 | Other | CO | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2660 (Colorado) | Primary |
| Provider Name | Deborah K Parker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619186889 PECOS PAC ID: 2567351406 Enrollment ID: I20110209000917 |
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