Provider Demographics
NPI:1245655539
Name:CONE, TATIANA NIKOLAYEVNA (NCMT)
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:NIKOLAYEVNA
Last Name:CONE
Suffix:
Gender:F
Credentials:NCMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-4204
Mailing Address - Country:US
Mailing Address - Phone:720-442-3484
Mailing Address - Fax:303-651-7004
Practice Address - Street 1:701 DELAWARE AVE UNIT A
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-6498
Practice Address - Country:US
Practice Address - Phone:303-651-7003
Practice Address - Fax:303-651-7004
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007529174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist