| |
1226 West Ash Suite F Windsor CO 80550 | |
(970) 286-8765 | |
Not Available |
Full Name | |
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Speciality | Psychologist - Clinical |
Location | 1226 West Ash, Windsor, Colorado |
Authorized Official Name and Position | Peggy Susan Maki-white (PSYCHOLOGIST / OWNER) |
Authorized Official Contact | 9702868765 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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P.o. Box 173 Windsor CO 80550 Ph: (970) 286-8765 | 1226 West Ash Suite F Windsor CO 80550 Ph: (970) 286-8765 |
NPI Number | 1265622476 |
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Provider Enumeration Date | 07/25/2007 |
Last Update Date | 01/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265622476 | NPI | - | NPPES |
1720171382 | Other | CO | MEDICARE ADVANTAGE |
3699754 | Other | CO | CIGNA |
3699754 | Other | VALUE OPTION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 3593 (Colorado) | Primary |
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