| Ruth S. O'brien, Psyd Pllc | |
|
3225 Templeton Gap Rd Ste 107 Colorado Springs CO 80907-8728 | |
| (719) 257-3926 | |
| Not Available |
| Full Name | Ruth S. O'brien, Psyd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3225 Templeton Gap Rd Ste 107, Colorado Springs, Colorado |
| Authorized Official Name and Position | Ruth O'brien (OWNER) |
| Authorized Official Contact | 7192573926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth S. O'brien, Psyd Pllc 6245 Silverado Trl Colorado Springs CO 80922-2915 Ph: () - | Ruth S. O'brien, Psyd Pllc 3225 Templeton Gap Rd Ste 107 Colorado Springs CO 80907-8728 Ph: (719) 257-3926 |
| NPI Number | 1508480856 |
|---|---|
| Provider Enumeration Date | 06/02/2020 |
| Last Update Date | 02/28/2022 |
| Certification Date | 02/28/2022 |
| Medicare PECOS PAC ID | 2567887144 |
|---|---|
| Medicare Enrollment ID | O20200729002820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508480856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ruth Shelhamer Obrien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730486317 PECOS PAC ID: 3476988387 Enrollment ID: I20200123001812 |
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