Skb Therapy | |
1256 22nd St Sw Loveland CO 80537-7068 | |
(720) 507-7686 | |
Not Available |
Full Name | Skb Therapy |
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Speciality | Clinic/Center |
Location | 1256 22nd St Sw, Loveland, Colorado |
Authorized Official Name and Position | Stephanie Bagwell (LICENSED CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7205077686 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Skb Therapy 1256 22nd St Sw Loveland CO 80537-7068 Ph: (773) 559-8172 | Skb Therapy 1256 22nd St Sw Loveland CO 80537-7068 Ph: (720) 507-7686 |
NPI Number | 1730711474 |
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Provider Enumeration Date | 02/11/2020 |
Last Update Date | 04/02/2020 |
Certification Date | 04/02/2020 |
Medicare PECOS PAC ID | 6507295912 |
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Medicare Enrollment ID | O20200407000553 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730711474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Stephanie Bagwell |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1114368263 PECOS PAC ID: 4486965480 Enrollment ID: I20170630001933 |
Provider Name | Rani Springman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194145201 PECOS PAC ID: 9537501416 Enrollment ID: I20240523000848 |
Provider Name | Angelica Fedak |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1427745504 PECOS PAC ID: 5698217230 Enrollment ID: I20240611000678 |
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