Provider Demographics
NPI:1336288547
Name:SLOVER, CHARLENE ANN (PSYD)
Entity Type:Individual
Prefix:
First Name:CHARLENE
Middle Name:ANN
Last Name:SLOVER
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 1:8461 TURNPIKE DRIVE
Mailing Address - Street 2:STE 110
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031
Mailing Address - Country:US
Mailing Address - Phone:303-427-8225
Mailing Address - Fax:303-427-8909
Practice Address - Street 1:8461 TURNPIKE DR
Practice Address - Street 2:STE. 110
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-4376
Practice Address - Country:US
Practice Address - Phone:303-427-8225
Practice Address - Fax:303-427-8909
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2340103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist