| Kimberly Shurtleff Hartman, Lcsw, A Pc | |
|
1414 N Nevada Ave Colorado Springs CO 80907-7431 | |
| (719) 465-9357 | |
| (719) 452-3491 |
| Full Name | Kimberly Shurtleff Hartman, Lcsw, A Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1414 N Nevada Ave, Colorado Springs, Colorado |
| Authorized Official Name and Position | Kimberly Shurtleff Hartman (AUTHORIZATION OFFICER) |
| Authorized Official Contact | 7194659357 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Shurtleff Hartman, Lcsw, A Pc Po Box 50875 Colorado Springs CO 80949-0875 Ph: (719) 465-9357 | Kimberly Shurtleff Hartman, Lcsw, A Pc 1414 N Nevada Ave Colorado Springs CO 80907-7431 Ph: (719) 465-9357 |
| NPI Number | 1730506387 |
|---|---|
| Provider Enumeration Date | 03/20/2014 |
| Last Update Date | 03/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730506387 | NPI | - | NPPES |
| 1669450771 | Other | CO | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 991629 (Colorado) | Primary |
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