Provider Demographics
NPI:1467778274
Name:THE INTIMACY INSTITUTE
Entity Type:Organization
Organization Name:THE INTIMACY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SKYLER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-331-3354
Mailing Address - Street 1:5412 IDYLWILD TRL
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3571
Mailing Address - Country:US
Mailing Address - Phone:720-331-3354
Mailing Address - Fax:
Practice Address - Street 1:5412 IDYLWILD TRL
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-3571
Practice Address - Country:US
Practice Address - Phone:720-331-3354
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-19
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty