Vandergrift, Eileen M
Vandergrift, Eileen M is an individual health care provider with primary practice located at 4162 Westcliffe Ct , Boulder CO 80301-1759. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Vandergrift, Eileen M can be contacted via phone (303) 593-2201.Contact Information
Primary practice address
4162 Westcliffe Ct
Boulder CO 80301-1759
Phone: (303) 593-2201
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS006856L | Pennsylvania |
Profile Details
| NPI number | 1467503219 |
|---|---|
| LBN Legal business name | Vandergrift, Eileen M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 25th, 2017 - about 9 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 | 1467503219 | NPPES |
| Pennsylvania | Other | 783861 | HIGHMARK |
| Pennsylvania | MEDICAID | 783861 | HIGHMARK |
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