| Jessica Mccrea, Llc | |
|
4430 Arapahoe Ave Ste 215 Boulder CO 80303-1132 | |
| (303) 247-0408 | |
| Not Available |
| Full Name | Jessica Mccrea, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4430 Arapahoe Ave Ste 215, Boulder, Colorado |
| Authorized Official Name and Position | Jessica Mccrea (OWNER / PSY.D) |
| Authorized Official Contact | 3032470408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Mccrea, Llc 4430 Arapahoe Ave Ste 215 Boulder CO 80303-1132 Ph: (303) 247-0408 | Jessica Mccrea, Llc 4430 Arapahoe Ave Ste 215 Boulder CO 80303-1132 Ph: (303) 247-0408 |
| NPI Number | 1346716131 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 10/18/2018 |
| Medicare PECOS PAC ID | 4082958780 |
|---|---|
| Medicare Enrollment ID | O20181206003166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346716131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jessica S Mccrea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174742308 PECOS PAC ID: 7911061742 Enrollment ID: I20100916000920 |
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