| Nina Minagawa Psychological Services | |
|
1800 30th St Ste 308 Boulder CO 80301-1026 | |
| (303) 817-9057 | |
| Not Available |
| Full Name | Nina Minagawa Psychological Services |
|---|---|
| Speciality | Counselor |
| Location | 1800 30th St Ste 308, Boulder, Colorado |
| Authorized Official Name and Position | Natsumi Minagawa (OWNER) |
| Authorized Official Contact | 3035063641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nina Minagawa Psychological Services Po Box 18904 Boulder CO 80308-1904 Ph: (303) 817-9057 | Nina Minagawa Psychological Services 1800 30th St Ste 308 Boulder CO 80301-1026 Ph: (303) 817-9057 |
| NPI Number | 1841729928 |
|---|---|
| Provider Enumeration Date | 06/12/2017 |
| Last Update Date | 10/07/2021 |
| Certification Date | 10/07/2021 |
| Medicare PECOS PAC ID | 8628497088 |
|---|---|
| Medicare Enrollment ID | O20201005000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841729928 | NPI | - | NPPES |
| Provider Name | Natsumi Minagawa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538580261 PECOS PAC ID: 9537588991 Enrollment ID: I20201005000257 |
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