| Jeremy T. Sharp, Ph.d., Llc | |
|
3500 John F Kennedy Pkwy Ste 200 Fort Collins CO 80525-2635 | |
| (970) 889-8204 | |
| (888) 494-3756 |
| Full Name | Jeremy T. Sharp, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3500 John F Kennedy Pkwy Ste 200, Fort Collins, Colorado |
| Authorized Official Name and Position | Jeremy Thomas Sharp (PSYCHOLOGIST) |
| Authorized Official Contact | 9704207919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy T. Sharp, Ph.d., Llc 3500 John F Kennedy Pkwy Ste 200 Fort Collins CO 80525-2635 Ph: (970) 889-8204 | Jeremy T. Sharp, Ph.d., Llc 3500 John F Kennedy Pkwy Ste 200 Fort Collins CO 80525-2635 Ph: (970) 889-8204 |
| NPI Number | 1104156777 |
|---|---|
| Provider Enumeration Date | 01/05/2010 |
| Last Update Date | 08/14/2020 |
| Certification Date | 08/14/2020 |
| Medicare PECOS PAC ID | 3173666708 |
|---|---|
| Medicare Enrollment ID | O20100204000746 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104156777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3349 (Colorado) | Primary |
| Provider Name | Jeremy T Sharp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821323676 PECOS PAC ID: 9638212269 Enrollment ID: I20100204000742 |
| Provider Name | Rebecca Hoke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477065985 PECOS PAC ID: 4688060171 Enrollment ID: I20220411000003 |
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