DR. CASSIE V COMEAU


Address: 245 S. Ridge St., Unit 3b, Breckenridge, CO 80424-6174
Phone: 4062700054

DR. CASSIE V COMEAU (NPI# 1063762854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063762854
Entity Type Individual
Full Name DR. CASSIE V COMEAU
Credential PH.D.
Practice Address 245 S. Ridge St.
Unit 3b
Breckenridge
CO 80424-6174
Mailing Address Po Box 2296
Silverthorne
CO 80498-2296
Practice Telephone 4062700054
Mailing Telephone 4062700054
Enumeration Date 2012-09-19
Last Update Date 2015-02-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
0004006 CO Behavioral Health & Social Service Providers
N 174400000X Specialist Other Service Providers

Office Location

Street Address 245 S. RIDGE ST.
UNIT 3B
City BRECKENRIDGE
State CO
Zip Code 80424-6174

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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Competitor

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City BRECKENRIDGE
Zip Code 80424

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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