Julie Mack (NPI# 1417000902, PAC ID# 4789655945) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1417000902 |
| PAC ID by PECOS | 4789655945 |
| Professional Enrollment ID | I20040803000408 |
| Full Name | Julie Mack |
| Address |
1816 Duchess Dr Longmont CO 80501-2034 |
| Gender | F |
| Credential | CP |
| Graduation Year | 1997 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1816 Duchess Dr, Longmont, CO 80501-2034 | ||
| 2500 Rocky Mountain Ave, Suite 310, Loveland, CO 80538-9004 |
| Street Address |
1816 DUCHESS DR |
| City | LONGMONT |
| State | CO |
| Zip | 80501-2034 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tana Levine | Geriatric Medicine | Life Care Physician Services LLC | 2451 Pratt St, Longmont, CO 80501-1123 |
| Lyle M Pfeifer | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Sean J Sands | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Alyssa L Gonzalez | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| William Oligmueller | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Robert V Nouhan | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Claudia M Martin-williams | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Catherine E Cavender | Family Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Daniel R Zenk | Internal Medicine | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Brittany A Hunter | Physician Assistant | Poudre Valley Medical Group LLC | 2101 Main St, Longmont, CO 80501-1406 |
| Find all physicians in zip 80501 | |||
| City | LONGMONT |
| Zip Code | 80501 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | LONGMONT + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Julie Mack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.