| Julie Rudiger, Lcsw, Inc. | |
|
445 Union Blvd Suite 203 Lakewood CO 80228-1237 | |
| (303) 331-1811 | |
| Not Available |
| Full Name | Julie Rudiger, Lcsw, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 445 Union Blvd, Lakewood, Colorado |
| Authorized Official Name and Position | Julie Rudiger (OWNER) |
| Authorized Official Contact | 3033311811 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Rudiger, Lcsw, Inc. 445 Union Blvd Suite 203 Lakewood CO 80228 Ph: (303) 331-1811 | Julie Rudiger, Lcsw, Inc. 445 Union Blvd Suite 203 Lakewood CO 80228-1237 Ph: (303) 331-1811 |
| NPI Number | 1700157583 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 01/25/2012 |
| Medicare PECOS PAC ID | 5193982551 |
|---|---|
| Medicare Enrollment ID | O20120214000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700157583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 992023 (Colorado) | Primary |
| Provider Name | Julie R Rudiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265537336 PECOS PAC ID: 9931142338 Enrollment ID: I20050607000456 |
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