Organization
MARTHA SUTHERLAND, PSYD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA STEVE SUTHERLAND PSYD (CLINICAL PSYCHOLOGIST)
(970) 587-8929
Entity
Organization
Contact information
Practice address
19 OLD TOWN SQ, SUITE 238, FORT COLLINS, CO 80524-2471
(970) 587-8929
Mailing address
19 OLD TOWN SQ, SUITE 238, FORT COLLINS, CO 80524-2471
(970) 587-8929
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2716
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750425831
INDIVIDUAL NPI FOR DR. SUTHERLAND
CO
Enumeration date
09/20/2007
Last updated
11/08/2022
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