Organization
KIMBERLY SHURTLEFF HARTMAN, LCSW, A PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY SHURTLEFF HARTMAN LCSW (AUTHORIZATION OFFICER)
(719) 465-9357
Entity
Organization
Contact information
Practice address
1414 N NEVADA AVE, COLORADO SPRINGS, CO 80907-7431
(719) 465-9357
(719) 452-3491
Mailing address
PO BOX 50875, COLORADO SPRINGS, CO 80949-0875
(719) 465-9357
(719) 452-3491
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
991629
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669450771
INDIVIDUAL NPI
CO
Enumeration date
03/20/2014
Last updated
03/20/2014
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