| Robert E Pelc Phd Abpp Professional Corporation | |
|
4251 S Natches Ct Ste A Englewood CO 80110-8603 | |
| (303) 388-6761 | |
| (303) 388-0132 |
| Full Name | Robert E Pelc Phd Abpp Professional Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 4251 S Natches Ct Ste A, Englewood, Colorado |
| Authorized Official Name and Position | Robert E Pelc (OWNER) |
| Authorized Official Contact | 3033886761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert E Pelc Phd Abpp Professional Corporation 4251 S Natches Ct Ste A Englewood CO 80110-8603 Ph: (303) 388-6761 | Robert E Pelc Phd Abpp Professional Corporation 4251 S Natches Ct Ste A Englewood CO 80110-8603 Ph: (303) 388-6761 |
| NPI Number | 1447530001 |
|---|---|
| Provider Enumeration Date | 08/26/2011 |
| Last Update Date | 08/26/2011 |
| Medicare PECOS PAC ID | 9133390982 |
|---|---|
| Medicare Enrollment ID | O20110927000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447530001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 531 (Colorado) | Primary |
| Provider Name | Robert E Pelc |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528041522 PECOS PAC ID: 7012970692 Enrollment ID: I20041104000904 |
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