| Sedillo Psychiatric Wellness Research Consulting Llc | |
|
110 S Parkside Dr Colorado Springs CO 80910-3129 | |
| (719) 351-5663 | |
| Not Available |
| Full Name | Sedillo Psychiatric Wellness Research Consulting Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 110 S Parkside Dr, Colorado Springs, Colorado |
| Authorized Official Name and Position | Andrew Sedillo (OWNER) |
| Authorized Official Contact | 7196197924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sedillo Psychiatric Wellness Research Consulting Llc 17535 W Cherry Stage Rd Colorado Springs CO 80921-3423 Ph: () - | Sedillo Psychiatric Wellness Research Consulting Llc 110 S Parkside Dr Colorado Springs CO 80910-3129 Ph: (719) 351-5663 |
| NPI Number | 1285406835 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 4880046655 |
|---|---|
| Medicare Enrollment ID | O20240117001752 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285406835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Andrew C Sedillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144263179 PECOS PAC ID: 4082663075 Enrollment ID: I20090730000301 |
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