| University Of Denver | |
|
2450 S Vine St Denver CO 80210-5264 | |
| (303) 871-3988 | |
| (303) 871-3625 |
| Full Name | University Of Denver |
|---|---|
| Speciality | Counselor |
| Location | 2450 S Vine St, Denver, Colorado |
| Authorized Official Name and Position | Fernand Lubuguin (PPC DIRECTOR) |
| Authorized Official Contact | 3038713988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Denver 2450 S Vine St Denver CO 80210-5264 Ph: (303) 871-3988 | University Of Denver 2450 S Vine St Denver CO 80210-5264 Ph: (303) 871-3988 |
| NPI Number | 1124224233 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 10/20/2016 |
| Medicare PECOS PAC ID | 7911285242 |
|---|---|
| Medicare Enrollment ID | O20161020001725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124224233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kathryn L Barrs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346639333 PECOS PAC ID: 4880972116 Enrollment ID: I20161020002096 |
| Provider Name | Fernand Lubuguin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831382837 PECOS PAC ID: 7315225653 Enrollment ID: I20161020002251 |
| Provider Name | Noelle L Lefforge |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538422563 PECOS PAC ID: 8325204639 Enrollment ID: I20210722000017 |
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