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Contact Information

SANDRA L EICKMANN, MA, MPH, LPC
1515 DIAMOND WALL DR
BERTHOUD, CO80513-8449
 Phone: 970-460-8477
 Fax: 970-460-7226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for SANDRA L EICKMANN · (Female)

NPI Number 1013073642
Status Active
Credentials MA, MPH, LPC
Entity Individual
Enumeration date 12/28/2006
Last updated 09/22/2015 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # LPC.0011233
  • MT Other 75248 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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