Provider Demographics
NPI:1275672107
Name:ZELIE, KAREN V (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:V
Last Name:ZELIE
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 1:12495 W.32ND AVE.
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-5288
Mailing Address - Country:US
Mailing Address - Phone:303-237-5701
Mailing Address - Fax:303-237-2680
Practice Address - Street 1:12495 W.32ND AVE.
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-5288
Practice Address - Country:US
Practice Address - Phone:303-237-5701
Practice Address - Fax:303-237-2680
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1483103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical