Mary M. Bourn is a Clinical in Colorado Springs, Colorado. Mary M. Bourn practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary M. Bourn is 1649262601. The last update date is 2015-01-06.
Mary M. Bourn's current location address is 1650 Cochrane Cir, Colorado Springs, Colorado. You can contact this provider via phone number 7195269826 and fax number 7195269126. The mailing address for Mary M. Bourn is 1650 Cochrane Cir, Colorado Springs, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary M. Bourn |
|---|---|
| Address | 1650 Cochrane Cir, Colorado Springs, Colorado |
| Phone Number | 7195269826 |
| Fax Number | 7195269126 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1649262601 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2015-01-06 |
Provider Mailing Address Detail
| Address | 1650 Cochrane Cir |
|---|---|
| City | Colorado Springs |
| State | Colorado (CO) |
| Post Code | 809134613 |
| Phone Number | 7195269826 |
| Fax Number | 7195269126 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 398 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Mary M. Bourn by the Centers for Medicare & Medicaid Services?
The Mary M. Bourn has been assigned the NPI (National Provider Identifier) 1649262601. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mary M. Bourn is physically located?
The Mary M. Bourn is physically situated at the following address: 1650 Cochrane Cir, Colorado Springs, CO, 809134613.
What is Mary M. Bourn's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary M. Bourn's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Mary M. Bourn's 1649262601 issued?
The Mary M. Bourn's 1649262601 was issued on 2005-08-16.
As of what date were the Mary M. Bourn's details last updated?
The information pertaining to the Mary M. Bourn, including its address, specialty, and other details, was most recently updated on 2015-01-06.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY