Individual
B SIMONE CARUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1625 SIMMS ST, LAKEWOOD, CO 80215-2611
(303) 238-8161
Mailing address
4860 ROBB ST STE 201, WHEAT RIDGE, CO 80033-2162
(303) 278-7418
(888) 341-5050
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY.0002149
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11581204
CAQH
CO
01
—
C472348
MEDICARE GRP PTAN
CO
01
—
PSY.0002149
PROFESSIONAL LICENSE
CO
Enumeration date
08/12/2014
Last updated
08/12/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us