Provider Demographics
NPI:1124390075
Name:NEU, SABRINA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:
Last Name:NEU
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 1:2995 55TH ST # 21195
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-7200
Mailing Address - Country:US
Mailing Address - Phone:720-994-2710
Mailing Address - Fax:
Practice Address - Street 1:2995 55TH ST # 21195
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-7200
Practice Address - Country:US
Practice Address - Phone:720-994-2710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3483103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical