| Mountain Vista Psychology, Pllc | |
|
88 Inverness Cir E Ste 103 Englewood CO 80112-5304 | |
| (720) 583-9332 | |
| (720) 213-4084 |
| Full Name | Mountain Vista Psychology, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 88 Inverness Cir E Ste 103, Englewood, Colorado |
| Authorized Official Name and Position | Tara Mcconnell (OFFICE MANAGER) |
| Authorized Official Contact | 7205839332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Vista Psychology, Pllc 1520 Fawnwood Rd Monument CO 80132-9550 Ph: (720) 934-5507 | Mountain Vista Psychology, Pllc 88 Inverness Cir E Ste 103 Englewood CO 80112-5304 Ph: (720) 583-9332 |
| NPI Number | 1033693171 |
|---|---|
| Provider Enumeration Date | 09/24/2018 |
| Last Update Date | 07/26/2023 |
| Certification Date | 07/26/2023 |
| Medicare PECOS PAC ID | 2769838267 |
|---|---|
| Medicare Enrollment ID | O20231019000942 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033693171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Steffanie Anne Stecker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942506316 PECOS PAC ID: 3678929171 Enrollment ID: I20231019001061 |
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