Provider Demographics
NPI:1407174741
Name:COLON, KATE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:
Last Name:COLON
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 1:899 N LOGAN ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3130
Mailing Address - Country:US
Mailing Address - Phone:303-756-1197
Mailing Address - Fax:
Practice Address - Street 1:899 N LOGAN ST
Practice Address - Street 2:SUITE 307
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3130
Practice Address - Country:US
Practice Address - Phone:303-756-1197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-11
Last Update Date:2016-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4327103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent