| Sandra Klein Llc | |
|
3663 Silverton St Boulder CO 80301-3614 | |
| (719) 244-8321 | |
| Not Available |
| Full Name | Sandra Klein Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3663 Silverton St, Boulder, Colorado |
| Authorized Official Name and Position | Sandra L Klein (SOLE OWNER) |
| Authorized Official Contact | 7192448321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Klein Llc 3663 Silverton St Boulder CO 80301-3614 Ph: (719) 244-8321 | Sandra Klein Llc 3663 Silverton St Boulder CO 80301-3614 Ph: (719) 244-8321 |
| NPI Number | 1437923919 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 01/10/2024 |
| Certification Date | 01/10/2024 |
| Medicare PECOS PAC ID | 8426409020 |
|---|---|
| Medicare Enrollment ID | O20240108005964 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437923919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sandra L Klein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891935425 PECOS PAC ID: 2466711510 Enrollment ID: I20180117001791 |
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