Senior Harbors, Inc. in Pueblo - Clinical
Senior Harbors, Inc. - NPI 1114009198
Senior Harbors, Inc. is a Clinical in Pueblo, Colorado. Senior Harbors, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Senior Harbors, Inc. is 1114009198. The last update date is 2007-09-14.
Senior Harbors, Inc.'s current location address is 3031 Norwich Ave, Pueblo, Colorado. You can contact this provider via phone number 7193203648 and fax number 7195436432. The mailing address for Senior Harbors, Inc. is 3031 Norwich Ave, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Senior Harbors, Inc. |
|---|---|
| Address | 3031 Norwich Ave, Pueblo, Colorado |
| Phone Number | 7193203648 |
| Fax Number | 7195436432 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Gonzales J. Sherley |
| Credentials | ED.D. |
| Telephone Number | 7193203648 |
NPI Number Detail
| NPI Number | 1114009198 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2007-09-14 |
Provider Mailing Address Detail
| Address | 3031 Norwich Ave |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810081435 |
| Phone Number | 7193203648 |
| Fax Number | 7195436432 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2181 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23489367 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Senior Harbors, Inc. by the Centers for Medicare & Medicaid Services?
The Senior Harbors, Inc. has been issued the NPI (National Provider Identifier) 1114009198, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Senior Harbors, Inc.?
The Senior Harbors, Inc. is situated at 3031 Norwich Ave, in the city of Pueblo, state of CO, with the zip code 810081435.
What is Senior Harbors, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Senior Harbors, Inc.'s specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
On what date did the Senior Harbors, Inc. receive the assignment of its 1114009198 from the Centers for Medicare & Medicaid Services?
The Senior Harbors, Inc. was issued its 1114009198 by the Centers for Medicare & Medicaid Services on 2006-10-19.
When was the information regarding Senior Harbors, Inc. most recently updated?
The details pertaining to the Senior Harbors, Inc., including its address, specialty, and other relevant information, were last refreshed on 2007-09-14.
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