Provider Demographics
NPI:1427703123
Name:REBEKAH C MARKHEIM PSYD PROF LLC
Entity type:Organization
Organization Name:REBEKAH C MARKHEIM PSYD PROF LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBEKAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKEIM
Authorized Official - Suffix:
Authorized Official - Credentials:LP
Authorized Official - Phone:303-810-5257
Mailing Address - Street 1:1685 S COLORADO BLVD UNIT S296
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4000
Mailing Address - Country:US
Mailing Address - Phone:303-810-5275
Mailing Address - Fax:
Practice Address - Street 1:1685 S COLORADO BLVD UNIT S296
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4000
Practice Address - Country:US
Practice Address - Phone:303-810-5275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty