Jennifer L. Beyer, Lcsw, Inc | |
723 N Nevada Ave Colorado Springs CO 80903-1007 | |
(719) 659-9346 | |
Not Available |
Full Name | Jennifer L. Beyer, Lcsw, Inc |
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Speciality | Clinic/Center |
Location | 723 N Nevada Ave, Colorado Springs, Colorado |
Authorized Official Name and Position | Jennifer Lynn Beyer (PRESIDENT) |
Authorized Official Contact | 7196599346 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jennifer L. Beyer, Lcsw, Inc 723 N Nevada Ave Colorado Springs CO 80903-1007 Ph: (719) 659-9346 | Jennifer L. Beyer, Lcsw, Inc 723 N Nevada Ave Colorado Springs CO 80903-1007 Ph: (719) 659-9346 |
NPI Number | 1922493584 |
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Provider Enumeration Date | 03/31/2015 |
Last Update Date | 03/31/2015 |
Medicare PECOS PAC ID | 1951629138 |
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Medicare Enrollment ID | O20150420001156 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922493584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | 989109 (Colorado) | Primary |
Provider Name | Jennifer L Beyer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598895302 PECOS PAC ID: 0648599670 Enrollment ID: I20150427002209 |
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