Eric Powell Consulting, Llc | |
813 Main Ave Suite 205 Durango CO 81301-5471 | |
(970) 769-7031 | |
Not Available |
Full Name | Eric Powell Consulting, Llc |
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Speciality | Psychologist |
Location | 813 Main Ave, Durango, Colorado |
Authorized Official Name and Position | Erin M Lehmer (BUSINESS MANAGER) |
Authorized Official Contact | 9707697031 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Eric Powell Consulting, Llc 22 Kennebec Dr Durango CO 81301-9490 Ph: (970) 769-7031 | Eric Powell Consulting, Llc 813 Main Ave Suite 205 Durango CO 81301-5471 Ph: (970) 769-7031 |
NPI Number | 1508266578 |
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Provider Enumeration Date | 08/27/2014 |
Last Update Date | 08/27/2014 |
Medicare PECOS PAC ID | 2466706387 |
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Medicare Enrollment ID | O20181113001306 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508266578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 0002927 (Colorado) | Primary |
Provider Name | Eric C Powell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1215038880 PECOS PAC ID: 7810092145 Enrollment ID: I20070416000476 |
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