Provider Demographics
NPI:1225436918
Name:SULLIVAN, AIMEE ELIZABETH NIEBUHR (PHD)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:ELIZABETH NIEBUHR
Last Name:SULLIVAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:AIMEE
Other - Middle Name:
Other - Last Name:NIEBUHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:303-493-7000
Mailing Address - Fax:
Practice Address - Street 1:13199 E MONTVIEW BLVD
Practice Address - Street 2:SUITE 330, MAIL STOP F550
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-7202
Practice Address - Country:US
Practice Address - Phone:303-724-3300
Practice Address - Fax:303-724-4698
Is Sole Proprietor?:No
Enumeration Date:2014-12-11
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4174103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical