| Doctor Name: | DR. SUNDA FRIEDMAN TEBOCKHORST |
| NPI Number: | 1730360983 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 4820 |
| Business Practice Address: | 6680 Gunpark Dr Suite 200 Boulder, CO - 803013349 |
| Business Phone Number: | 7203878458 |
| Business Fax Number: | 7202080666 |
| Mailing Address: | 6680 Gunpark Dr, Suite 200 BOULDER |
| State: | CO |
| Postal Code: | 803013349 |
| Phone Number: | 7203878458 |
| Fax Number: | 7202080666 |
| NPI Enumeration Date: | 11/15/2007 |
| NPI Last Update Date: | 09/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 4820 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |