| Michelle Templeton, Ph.d. | |
|
12021 Pennsylvania St Ste 202 Thornton CO 80241-3152 | |
| (720) 425-1111 | |
| (303) 450-1574 |
| Full Name | Michelle Templeton, Ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 12021 Pennsylvania St Ste 202, Thornton, Colorado |
| Authorized Official Name and Position | Michelle Templeton (OWNER) |
| Authorized Official Contact | 7204251111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Templeton, Ph.d. Po Box 1224 Eastlake CO 80614-1224 Ph: (720) 425-1111 | Michelle Templeton, Ph.d. 12021 Pennsylvania St Ste 202 Thornton CO 80241-3152 Ph: (720) 425-1111 |
| NPI Number | 1851695381 |
|---|---|
| Provider Enumeration Date | 12/23/2010 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Medicare PECOS PAC ID | 2668655853 |
|---|---|
| Medicare Enrollment ID | O20110325000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851695381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2934 (Colorado) | Primary |
| Provider Name | Michelle Templeton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962486068 PECOS PAC ID: 9032123021 Enrollment ID: I20110325000169 |
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