Dr Monica Carlsson Ebaugh, PHD is a
Psychologist - Clinical based in Basalt, Colorado. Dr Monica Carlsson Ebaugh is licensed to practice in Colorado (license number 1480) and her current practice location is
412 Elk Cir, Basalt, Colorado. She can be reached at her office (for appointments etc.) via phone at
(970) 927-4945.
NPI number for Dr Monica Carlsson Ebaugh is 1780983270 and her current mailing address is 412 Elk Cir, Basalt, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780983270.
Healthcare Provider's Profile
Full Name | Dr Monica Carlsson Ebaugh |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 412 Elk Cir, Basalt, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1780983270
- Provider Enumeration Date: 03/23/2011
- Last Update Date: 03/23/2011
Medical Identifiers
Medical identifiers for Dr Monica Carlsson Ebaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780983270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 1480 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Monica Carlsson Ebaugh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Monica Carlsson Ebaugh, PHD 412 Elk Cir, Basalt, CO 81621-8202 Ph: (970) 927-4945 | Dr Monica Carlsson Ebaugh, PHD 412 Elk Cir, Basalt, CO 81621-8202 Ph: (970) 927-4945 |
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