SARA KNICKERBOCKER


Address: 900 E Louisiana Ave Ste 289, Denver, CO 80210-1722
Phone: 7205930199

SARA KNICKERBOCKER (NPI# 1184092967) 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) 1184092967
Entity Type Individual
Full Name SARA KNICKERBOCKER
Credential PH.D.
Practice Address 900 E Louisiana Ave Ste 289
Denver
CO 80210-1722
Practice Telephone 7205930199
Mailing Telephone 7205930199
Enumeration Date 2015-09-09
Last Update Date 2015-09-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TS0200X Psychologist
Specialization: School
13620 CO Behavioral Health & Social Service Providers

Office Location

Street Address 900 E LOUISIANA AVE STE 289
City DENVER
State CO
Zip Code 80210-1722

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Taxonomy Information

Taxonomy Code 103TS0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization School

Taxonomy Definition

Definition to come...

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Competitor

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City DENVER
Zip Code 80210

Improve Information

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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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