Doctor Name: | TARYN BOSTWICK |
NPI Number: | 1245512011 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | LPC-6214 |
Business Practice Address: | 2002-b West 120th Ave #2 Northglenn, CO - 80234 |
Business Phone Number: | 7203045570 |
Business Fax Number: | |
Mailing Address: | 2002-b West 120th Ave, #2 NORTHGLENN |
State: | CO |
Postal Code: | 80234 |
Phone Number: | 7203045570 |
Fax Number: | |
NPI Enumeration Date: | 09/16/2011 |
NPI Last Update Date: | 09/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC-6214 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |