| Sara Honn Qualls Phd Llc | |
|
10 E Monument St Colorado Springs CO 80903-1018 | |
| (719) 428-5025 | |
| (719) 896-5138 |
| Full Name | Sara Honn Qualls Phd Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 E Monument St, Colorado Springs, Colorado |
| Authorized Official Name and Position | Sara Honn Qualls (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7194285025 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Honn Qualls Phd Llc 10 E Monument St Colorado Springs CO 80903-1018 Ph: (719) 428-5025 | Sara Honn Qualls Phd Llc 10 E Monument St Colorado Springs CO 80903-1018 Ph: (719) 428-5025 |
| NPI Number | 1184393738 |
|---|---|
| Provider Enumeration Date | 09/08/2021 |
| Last Update Date | 09/08/2021 |
| Certification Date | 09/07/2021 |
| Medicare PECOS PAC ID | 2163829292 |
|---|---|
| Medicare Enrollment ID | O20210916000934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184393738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sarah H Qualls |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881792331 PECOS PAC ID: 3476588468 Enrollment ID: I20170403002066 |
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