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340 Perry St Suite 220 Castle Rock CO 80104-2499 | |
| (303) 507-4896 | |
| (303) 955-5359 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 340 Perry St, Castle Rock, Colorado |
| Authorized Official Name and Position | Heather Arlene Uncapher (OWNER) |
| Authorized Official Contact | 3035074896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 403 Castle Rock CO 80104-0403 Ph: (303) 507-4896 | 340 Perry St Suite 220 Castle Rock CO 80104-2499 Ph: (303) 507-4896 |
| NPI Number | 1851694632 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 12/16/2010 |
| Medicare PECOS PAC ID | 9537335971 |
|---|---|
| Medicare Enrollment ID | O20120105000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851694632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2553 (Colorado) | Primary |
| Provider Name | Heather A Uncapher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598788812 PECOS PAC ID: 0042206781 Enrollment ID: I20040420001665 |
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