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1663 S Hudson St Denver CO 80222-3932 | |
| (720) 507-8479 | |
| (323) 386-0773 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 1663 S Hudson St, Denver, Colorado |
| Authorized Official Name and Position | Nancie C Ziemke (OWNER) |
| Authorized Official Contact | 7205078479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1663 S Hudson St Denver CO 80222-3932 Ph: (720) 507-8479 | 1663 S Hudson St Denver CO 80222-3932 Ph: (720) 507-8479 |
| NPI Number | 1629837067 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 11/12/2024 |
| Certification Date | 11/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629837067 | NPI | - | NPPES |
| 9000228276 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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