| Lauren Goldsmith PhD LLC | |
|
1335 Norwood Ave Boulder CO 80304-1209 | |
| (303) 931-3021 | |
| Not Available |
| Full Name | Lauren Goldsmith PhD LLC |
|---|---|
| Speciality | Psychologist |
| Location | 1335 Norwood Ave, Boulder, Colorado |
| Authorized Official Name and Position | Lauren Goldsmith (OWNER) |
| Authorized Official Contact | 3039313021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Goldsmith PhD LLC 1335 Norwood Ave Boulder CO 80304-1209 Ph: (303) 931-3021 | Lauren Goldsmith PhD LLC 1335 Norwood Ave Boulder CO 80304-1209 Ph: (303) 931-3021 |
| NPI Number | 1346775384 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 04/27/2017 |
| Medicare PECOS PAC ID | 3173897063 |
|---|---|
| Medicare Enrollment ID | O20170915000658 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346775384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2397 (Colorado) | Primary |
| Provider Name | Lauren R Goldsmith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700951159 PECOS PAC ID: 5193710879 Enrollment ID: I20040420001124 |
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