Provider Demographics
NPI:1871983619
Name:TAN, RUI PING BENJAMIN (MA)
Entity type:Individual
Prefix:MR
First Name:RUI PING
Middle Name:BENJAMIN
Last Name:TAN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2450 S VINE ST
Mailing Address - Street 2:GSPP PPC
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5264
Mailing Address - Country:US
Mailing Address - Phone:303-871-3736
Mailing Address - Fax:303-871-4220
Practice Address - Street 1:2450 S VINE ST
Practice Address - Street 2:GSPP PPC
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5264
Practice Address - Country:US
Practice Address - Phone:303-871-3736
Practice Address - Fax:303-871-4220
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-02
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health