Dr Judy M Cole, PSYD | |
559 Vincent Street, Attn: 21 Mdos/sgow - Mental Health, Peterson Afb, CO 80914-1540 | |
(719) 556-7804 | |
Not Available |
Full Name | Dr Judy M Cole |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 559 Vincent Street, Peterson Afb, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295858884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 7481 (Florida) | Primary |
Entity Name | Family Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960 |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Dr Judy M Cole, PSYD 559 Vincent Street, Attn: 21 Mdos/sgow - Mental Health, Peterson Afb, CO 80914-1540 Ph: (719) 556-7804 | Dr Judy M Cole, PSYD 559 Vincent Street, Attn: 21 Mdos/sgow - Mental Health, Peterson Afb, CO 80914-1540 Ph: (719) 556-7804 |
Alicia Teresa Rozycki, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Attn: 21 Mds - Sgof, Peterson Afb, CO 80914 Phone: 719-567-4489 Fax: 877-813-1756 | |
Christopher Noullet, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St., 21 Mdos/sgow - Attn: Mental Health, Peterson Afb, CO 80914 Phone: 719-556-7804 Fax: 877-813-1756 | |
John Frank Drozd, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 21st Medical Group, 559 Vincent Street, Peterson Afb, CO 80914 Phone: 719-556-7804 | |
Dr. Mark Rolsten, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Attn: 21 Mdos/sgoh-mental Health, Peterson Afb, CO 80914 Phone: 719-556-7804 Fax: 866-867-7926 | |
Dr. Todd William Neu, PSYCHOLOGIST PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Attn: 21 Mdos/sgoh- Mental Health, Peterson Afb, CO 80914 Phone: 719-556-7804 Fax: 719-556-9677 | |
Chad Houchin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Attn: 21 Omrs/sgow - Mental Health, Peterson Afb, CO 80914 Phone: 719-556-8581 Fax: 877-813-1756 |