| Paula L King Phd Llc | |
|
2139 N 12th St Ste 7 Grand Junction CO 81501-2901 | |
| (970) 256-8449 | |
| (970) 241-2828 |
| Full Name | Paula L King Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2139 N 12th St, Grand Junction, Colorado |
| Authorized Official Name and Position | Paula L King (OWNER) |
| Authorized Official Contact | 9702568449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paula L King Phd Llc 2139 N 12th St Ste 7 Grand Junction CO 81501-2901 Ph: (970) 256-8449 | Paula L King Phd Llc 2139 N 12th St Ste 7 Grand Junction CO 81501-2901 Ph: (970) 256-8449 |
| NPI Number | 1992051932 |
|---|---|
| Provider Enumeration Date | 07/27/2012 |
| Last Update Date | 08/07/2012 |
| Medicare PECOS PAC ID | 6406002609 |
|---|---|
| Medicare Enrollment ID | O20120803000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992051932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2991 (Colorado) | Primary |
| Provider Name | Paula L King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265421135 PECOS PAC ID: 2264451525 Enrollment ID: I20120816000266 |
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