Provider Demographics
NPI:1184645202
Name:KILMER, EVE (PHD)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:
Last Name:KILMER
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 1:4770 BASELINE RD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2666
Mailing Address - Country:US
Mailing Address - Phone:303-995-9922
Mailing Address - Fax:
Practice Address - Street 1:4770 BASELINE RD
Practice Address - Street 2:SUITE 315
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2666
Practice Address - Country:US
Practice Address - Phone:303-995-9922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2662103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist