| Marten Psychotherapy Associates, P.c. | |
|
4465 Northpark Dr Suite 300 Colorado Springs CO 80907-4225 | |
| (719) 471-3125 | |
| (719) 488-1733 |
| Full Name | Marten Psychotherapy Associates, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 4465 Northpark Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Brad A Marten (PRESIDENT) |
| Authorized Official Contact | 7194713125 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marten Psychotherapy Associates, P.c. 4465 Northpark Dr Suite 300 Colorado Springs CO 80907-4225 Ph: (719) 471-3125 | Marten Psychotherapy Associates, P.c. 4465 Northpark Dr Suite 300 Colorado Springs CO 80907-4225 Ph: (719) 471-3125 |
| NPI Number | 1447408091 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 09/08/2008 |
| Medicare PECOS PAC ID | 7810065356 |
|---|---|
| Medicare Enrollment ID | O20081017000471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447408091 | NPI | - | NPPES |
| 07013956 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1395 (Colorado) | Primary |
| Provider Name | Brad A Marten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558425397 PECOS PAC ID: 4981636669 Enrollment ID: I20050901000677 |
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