Provider Demographics
NPI:1093126369
Name:AHLERS, ELIZABETH ORMOND (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ORMOND
Last Name:AHLERS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1871 S MARION ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3220
Mailing Address - Country:US
Mailing Address - Phone:202-258-0845
Mailing Address - Fax:
Practice Address - Street 1:1687 COLE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3318
Practice Address - Country:US
Practice Address - Phone:303-403-6688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0005095103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical