Provider Demographics
NPI:1710241104
Name:CAROL A. MARFUT PSY. LLC
Entity Type:Organization
Organization Name:CAROL A. MARFUT PSY. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARFUT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:303-755-1144
Mailing Address - Street 1:14304 E EVANS AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1408
Mailing Address - Country:US
Mailing Address - Phone:303-755-1144
Mailing Address - Fax:303-346-0057
Practice Address - Street 1:14304 E EVANS AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1408
Practice Address - Country:US
Practice Address - Phone:303-755-1144
Practice Address - Fax:303-346-0057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-29
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO957103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty