| Jane Sutliff, Ph.d., Llc | |
|
357 Mccaslin Blvd Louisville CO 80027-2941 | |
| (720) 313-3514 | |
| Not Available |
| Full Name | Jane Sutliff, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 357 Mccaslin Blvd, Louisville, Colorado |
| Authorized Official Name and Position | Jane Sutliff (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7203133514 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jane Sutliff, Ph.d., Llc 357 Mccaslin Blvd Louisville CO 80027-2941 Ph: (720) 313-3514 | Jane Sutliff, Ph.d., Llc 357 Mccaslin Blvd Louisville CO 80027-2941 Ph: (720) 313-3514 |
| NPI Number | 1619003209 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 04/10/2008 |
| Medicare PECOS PAC ID | 4486620531 |
|---|---|
| Medicare Enrollment ID | O20040909000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619003209 | NPI | - | NPPES |
| 24833011 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2198 (Colorado) | Primary |
| Provider Name | Jane A Sutliff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760445738 PECOS PAC ID: 6800058835 Enrollment ID: I20120508000534 |
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