Yevgeniy Fedorov

NPI 1295108108 · on the registry since 2015

Practice

Address: 1800 30th St Ste 215
Boulder, CO 80301
Phone: (303) 444-1171
Organisation at this address: Gail R Marcus
Soul Shine, Llc
Joey Stoops Llc
Pace Therapy Pc
Jorba Counseling
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 93

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: CO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-11-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado