Roderick, Marie Claire

Roderick, Marie Claire is an individual health care provider with primary practice located at 12591 Whippoorwill St , Broomfield CO 80020-7919. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Roderick, Marie Claire can be contacted via phone (571) 276-8939.

Contact Information

Primary practice address
12591 Whippoorwill St Broomfield CO 80020-7919
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 0810005301 Virginia

Profile Details

NPI number 1851750376
LBN Legal business name Roderick, Marie Claire
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2016
Last updated Oct 5th, 2022 - about 4 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 1851750376 NPPES
Colorado Other 0005553 COLORADO LICENSE NUMBER
Colorado Other 0810005301 COLORADO LICENSE NUMBER

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