Provider Demographics
NPI:1235142712
Name:BELON, HOWARD P (PHD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:P
Last Name:BELON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 E COLFAX AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-2238
Mailing Address - Country:US
Mailing Address - Phone:720-231-4375
Mailing Address - Fax:
Practice Address - Street 1:1245 E COLFAX AVE
Practice Address - Street 2:STE 200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-2238
Practice Address - Country:US
Practice Address - Phone:720-231-4375
Practice Address - Fax:815-550-2222
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1903103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
S15213Medicare UPIN
COCO40557Medicare PIN