Provider Demographics
NPI:1124201116
Name:SHAIMAN, ANGELA K (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:K
Last Name:SHAIMAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 S ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-5116
Mailing Address - Country:US
Mailing Address - Phone:510-274-1885
Mailing Address - Fax:
Practice Address - Street 1:1070 S ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-5116
Practice Address - Country:US
Practice Address - Phone:510-274-1885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT0001936106H00000X
CA83991106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist