| The Shandy Clinic | |
|
917 E Moreno Ave Ste 100 Colorado Spgs CO 80903-4547 | |
| (719) 597-0822 | |
| (719) 599-4606 |
| Full Name | The Shandy Clinic |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 917 E Moreno Ave Ste 100, Colorado Spgs, Colorado |
| Authorized Official Name and Position | Rebecca Newman (BILLING MANAGER) |
| Authorized Official Contact | 7195970822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Shandy Clinic 685 Citadel Dr E Ste 580 Colorado Springs CO 80909-5381 Ph: (719) 597-0822 | The Shandy Clinic 917 E Moreno Ave Ste 100 Colorado Spgs CO 80903-4547 Ph: (719) 597-0822 |
| NPI Number | 1093320665 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 09/15/2020 |
| Certification Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093320665 | NPI | - | NPPES |
| 12000256 | Medicaid | CO |
Gary W.gossage, Licensed Clinical Social Work, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1910 Payton Cir, Colorado Spgs, CO 80915 Phone: 701-400-2592 |