Eileen M Vandergrift in Boulder - Psychologist
Eileen M Vandergrift - NPI 1467503219
Eileen M Vandergrift is a Psychologist in Boulder, Colorado. Eileen M Vandergrift practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Eileen M Vandergrift is 1467503219. The last update date is 2017-07-25.
Eileen M Vandergrift's current location address is 4162 Westcliffe Ct, Boulder, Colorado. You can contact this provider via phone number 3035932201. The mailing address for Eileen M Vandergrift is 4162 Westcliffe Ct, Boulder, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eileen M Vandergrift |
|---|---|
| Address | 4162 Westcliffe Ct, Boulder, Colorado |
| Phone Number | 3035932201 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1467503219 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2017-07-25 |
Provider Mailing Address Detail
| Address | 4162 Westcliffe Ct |
|---|---|
| City | Boulder |
| State | Colorado (CO) |
| Post Code | 803011759 |
| Phone Number | 3035932201 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PS006856L |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 783861 | PA | HIGHMARK | |
| 783861 | PA | -- |
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What is the unique 10-digit identifier code issued to Eileen M Vandergrift by the Centers for Medicare & Medicaid Services?
The Eileen M Vandergrift has been assigned the NPI (National Provider Identifier) 1467503219 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Eileen M Vandergrift is physically located?
The Eileen M Vandergrift is situated at the following address: 4162 Westcliffe Ct, Boulder, CO 803011759.
What is the Eileen M Vandergrift's specialty and taxonomy code?
The Eileen M Vandergrift's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date was the 1467503219 assigned to Eileen M Vandergrift?
The Eileen M Vandergrift was issued its 1467503219 on 2007-01-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Eileen M Vandergrift, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eileen M Vandergrift, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-07-25.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC