Provider Demographics
NPI:1710070255
Name:TALMAGE-BOWERS, MARILYN DEE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:DEE
Last Name:TALMAGE-BOWERS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 EUDORA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-5113
Mailing Address - Country:US
Mailing Address - Phone:303-355-4137
Mailing Address - Fax:303-355-4137
Practice Address - Street 1:4495 HALE PKWY STE 208
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-6210
Practice Address - Country:US
Practice Address - Phone:303-355-4137
Practice Address - Fax:303-355-4137
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO805103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO95436Medicare ID - Type Unspecified