Provider Demographics
NPI:1508181314
Name:BREDELL, COLLEEN ANN SMITH (MA)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:ANN SMITH
Last Name:BREDELL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 S. SYCAMORE
Mailing Address - Street 2:SUITE 222
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80121-8201
Mailing Address - Country:US
Mailing Address - Phone:303-770-2213
Mailing Address - Fax:
Practice Address - Street 1:5500 S. SYCAMORE
Practice Address - Street 2:SUITE 222
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80121-8201
Practice Address - Country:US
Practice Address - Phone:303-770-2213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health