Provider Demographics
NPI:1033230990
Name:RICHEY, REBECCA MICHELLE (PSYD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:MICHELLE
Last Name:RICHEY
Suffix:
Gender:F
Credentials:PSYD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 W 26TH AVE STE 465C
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5315
Mailing Address - Country:US
Mailing Address - Phone:303-569-4666
Mailing Address - Fax:
Practice Address - Street 1:2460 W 26TH AVE STE 465C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-5315
Practice Address - Country:US
Practice Address - Phone:303-569-4666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4113103TC0700X
CO0004113103TC2200X, 103TC0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No104100000XBehavioral Health & Social Service ProvidersSocial Worker