TONI LYN MARINKOVICH FORMAN LPC
NPI 1124256060
Counselor - Mental Health in Boulder, CO
Active since June 30, 2009
About Toni Lyn Marinkovich Forman Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TONI LYN MARINKOVICH FORMAN LPC (NPI 1124256060) is an individual mental health provider in Boulder, Colorado and active in the NPI registry since June 2009.
NPPES Registry Identity
NPI1124256060
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTONI LYN MARINKOVICH FORMANCredential: LPC
Location Address1333 IRIS AVEBoulder, CO 80304-2226
Mailing Address1455 Dixon AveLafayette, CO 80026-8879 · (303) 443-8500
Phone(303) 413-8500
Sole ProprietorNo
Enumeration DateJune 30, 2009
Last NPPES UpdateDecember 9, 2020
NPPES CertifiedNovember 24, 2020
✔ NPI 1124256060 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1333 IRIS AVE, Boulder, CO 80304
Other Names 1
Former Name (1)Toni Lyn Marinkovich Lpc
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124256060, enumerated as an "individual" on June 30, 2009.
The provider is located at 1333 IRIS AVE BOULDER, CO 80304 and the phone number is (303) 413-8500.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.