Braden, Marcia L

Braden, Marcia L is an individual health care provider with primary practice located at 214 E Dale St #110, Colorado Springs CO 80903-4729. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Braden, Marcia L can be contacted via phone (719) 633-3773.

Contact Information

Primary practice address
214 E Dale St #110 Colorado Springs CO 80903-4729
Phone: (719) 633-3773
Fax: (719) 633-9705
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 1894 Colorado

Profile Details

NPI number 1891063582
LBN Legal business name Braden, Marcia L
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2011
Last updated Dec 8th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891063582 NPPES
Colorado Other 1609913011 NPI

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