| Martha Sutherland, Psyd, Pllc | |
|
19 Old Town Sq Suite 238 Fort Collins CO 80524-2471 | |
| (970) 587-8929 | |
| Not Available |
| Full Name | Martha Sutherland, Psyd, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 19 Old Town Sq, Fort Collins, Colorado |
| Authorized Official Name and Position | Martha Steve Sutherland (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9705878929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martha Sutherland, Psyd, Pllc 19 Old Town Sq Suite 238 Fort Collins CO 80524-2471 Ph: (970) 587-8929 | Martha Sutherland, Psyd, Pllc 19 Old Town Sq Suite 238 Fort Collins CO 80524-2471 Ph: (970) 587-8929 |
| NPI Number | 1558557843 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 11/08/2022 |
| Certification Date | 11/08/2022 |
| Medicare PECOS PAC ID | 8123113271 |
|---|---|
| Medicare Enrollment ID | O20071004000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558557843 | NPI | - | NPPES |
| 1750425831 | Other | CO | INDIVIDUAL NPI FOR DR. SUTHERLAND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2716 (Colorado) | Primary |
| Provider Name | Martha S Sutherland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750425831 PECOS PAC ID: 2668567371 Enrollment ID: I20070926000727 |
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