Provider Demographics
NPI:1437503638
Name:ANDREW SCHECHTERMAN PHD LLC
Entity Type:Organization
Organization Name:ANDREW SCHECHTERMAN PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHECHTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-252-3510
Mailing Address - Street 1:8555 E MINERAL CIR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2744
Mailing Address - Country:US
Mailing Address - Phone:303-252-3510
Mailing Address - Fax:303-252-3510
Practice Address - Street 1:7807 E PEAKVIEW AVE STE 130
Practice Address - Street 2:SUITE 130
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-6849
Practice Address - Country:US
Practice Address - Phone:303-252-3510
Practice Address - Fax:303-252-3510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2871103TH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO494197Medicare PIN