Provider Demographics
NPI:1013022581
Name:NAHUM, HEIDI COVER (PHD)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:COVER
Last Name:NAHUM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 TOPEKA WAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-3130
Mailing Address - Country:US
Mailing Address - Phone:303-909-5825
Mailing Address - Fax:303-814-1583
Practice Address - Street 1:599 TOPEKA WAY
Practice Address - Street 2:SUITE 300
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80109-3130
Practice Address - Country:US
Practice Address - Phone:303-909-5825
Practice Address - Fax:303-814-1583
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2134103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO513540OtherVALUE OPTIONS
CO03327345Medicaid
CO03327345Medicaid