| Adrienne Marks Phd P.c. | |
|
225 East 2nd Street Salida CO 81201 | |
| (719) 539-6160 | |
| (719) 539-7151 |
| Full Name | Adrienne Marks Phd P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 225 East 2nd Street, Salida, Colorado |
| Authorized Official Name and Position | Adrienne K Marks (OWNER) |
| Authorized Official Contact | 7195396160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrienne Marks Phd P.c. Po Box 1411 Salida CO 81201 Ph: (719) 539-6160 | Adrienne Marks Phd P.c. 225 East 2nd Street Salida CO 81201 Ph: (719) 539-6160 |
| NPI Number | 1417098781 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 12/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417098781 | NPI | - | NPPES |
| C82286 | Other | CO | PTAN |
| 0400020 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1364 (Colorado) | Primary |
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