Provider Demographics
NPI:1235506718
Name:TRIERWEILER, VIRGINIA (PHD)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:TRIERWEILER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:GINNY
Other - Middle Name:
Other - Last Name:TRIERWEILER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3097 S HURLEY CIR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80227-3824
Mailing Address - Country:US
Mailing Address - Phone:303-975-6103
Mailing Address - Fax:
Practice Address - Street 1:5161 E ARAPAHOE RD
Practice Address - Street 2:SUITE 415
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-2387
Practice Address - Country:US
Practice Address - Phone:303-741-1077
Practice Address - Fax:303-741-1078
Is Sole Proprietor?:No
Enumeration Date:2015-08-31
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2200103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist