MS. TRUDY P. WALTER


Address: 1660 Oak Ave, Boulder, CO 80304-1257
Phone: 3034472392

MS. TRUDY P. WALTER (NPI# 1982727954) 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) 1982727954
Entity Type Individual
Full Name MS. TRUDY P. WALTER
Credential MA LPC
Practice Address 1660 Oak Ave
Boulder
CO 80304-1257
Practice Telephone 3034472392
Practice Fax Number 3034472392
Mailing Telephone 3034472392
Mailing Fax Number 3034472392
Enumeration Date 2007-04-06
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
2917 CO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO LPC 2917 01

Office Location

Street Address 1660 OAK AVE
City BOULDER
State CO
Zip Code 80304-1257

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Taxonomy Information

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

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881215911 Jane Seaton Psychologist 4949 Broadway St Ste 204, Boulder, CO 80304-0578 2020-04-29
1548630569 Karen Kissel Wegela Psychologist 2590 Norwood Ave, Boulder, CO 80304-1363 2015-10-02
1154714699 Elizabeth Lillian Asta Psychologist 1790 30th St Ste 230, Boulder, CO 80301-1019 2015-03-09
1831407899 William Dunton Forbes Psychologist 2885 Aurora #22, Boulder, CO 80303 2010-09-23
1891358271 Tara Suzanne Stanley Psychologist 100 Arapahoe Ave Ste 12, Boulder, CO 80302-5862 2019-04-21
1740771666 Shahrazad Holland Psychologist 2995 Baseline Rd Ste 100, Boulder, CO 80303-2318 2018-05-26
1336653385 Boulder Journey Counseling Psychologist 5000 Butte St Lot 25, Boulder, CO 80301-2236 2017-11-29
1740712652 William Tyler Branagan Psychologist 104 Ucb, Boulder, CO 80309-5001 2017-03-30
1306395751 Melissa Horne Psychologist 6680 Gunpark Dr, Suite 200, Boulder, CO 80301-3349 2016-09-27
1649687682 Juana Pilar Rincon Psychologist 1333 Iris Avenue, Boulder, CO 80304 2014-07-22
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Competitor

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City BOULDER
Zip Code 80304

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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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