Provider Demographics
NPI:1437920972
Name:AHN PSYCHOLOGY, LLC
Entity Type:Organization
Organization Name:AHN PSYCHOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROIANNE
Authorized Official - Middle Name:RICHARDSON
Authorized Official - Last Name:AHN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-331-6022
Mailing Address - Street 1:4555 OTTAWA PL
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-3724
Mailing Address - Country:US
Mailing Address - Phone:720-331-6022
Mailing Address - Fax:
Practice Address - Street 1:400 S MCCASLIN BLVD STE 105
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-9701
Practice Address - Country:US
Practice Address - Phone:303-444-5006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROIANNE R AHN, PHD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty