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
Phone: (571) 276-8939
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851750376 | NPPES |
| Colorado | Other | 0005553 | COLORADO LICENSE NUMBER |
| Colorado | Other | 0810005301 | COLORADO LICENSE NUMBER |
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