| |
1685 S Colorado Blvd Unit S296 Denver CO 80222-4000 | |
(303) 810-5275 | |
Not Available |
Full Name | |
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Speciality | Psychologist |
Location | 1685 S Colorado Blvd Unit S296, Denver, Colorado |
Authorized Official Name and Position | Rebekah Markeim (OWNER) |
Authorized Official Contact | 3038105257 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1685 S Colorado Blvd Unit S296 Denver CO 80222-4000 Ph: (303) 810-5275 | 1685 S Colorado Blvd Unit S296 Denver CO 80222-4000 Ph: (303) 810-5275 |
NPI Number | 1427703123 |
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Provider Enumeration Date | 02/21/2022 |
Last Update Date | 09/04/2024 |
Certification Date | 08/02/2024 |
Medicare PECOS PAC ID | 9032642467 |
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Medicare Enrollment ID | O20241023004905 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427703123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Rebekah C Markheim |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1467681734 PECOS PAC ID: 4082756432 Enrollment ID: I20100122000299 |
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