Provider Demographics
NPI:1497934178
Name:KINNEY, REBECCA L (PSYD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:KINNEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:L
Other - Last Name:SHAYMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:2806 N SPEER BLVD # 3B
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4225
Mailing Address - Country:US
Mailing Address - Phone:303-720-2807
Mailing Address - Fax:
Practice Address - Street 1:2806 N SPEER BLVD # 3B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-4225
Practice Address - Country:US
Practice Address - Phone:303-720-2807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist