Longmont Psychiatric Associates, P.c. | |
1380 Tulop St. Suite P Longmont CO 80501 | |
(303) 772-3644 | |
(303) 772-0889 |
Full Name | Longmont Psychiatric Associates, P.c. |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1380 Tulop St., Longmont, Colorado |
Authorized Official Name and Position | Severance B Kelley (PRESIDENT OF THE CORPORATION) |
Authorized Official Contact | 3037723644 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Longmont Psychiatric Associates, P.c. 1380 Tulop St. Suite P Longmont CO 80501 Ph: (303) 772-3644 | Longmont Psychiatric Associates, P.c. 1380 Tulop St. Suite P Longmont CO 80501 Ph: (303) 772-3644 |
NPI Number | 1487810529 |
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Provider Enumeration Date | 07/29/2008 |
Last Update Date | 07/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487810529 | NPI | - | NPPES |
04171047 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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