Provider Demographics
NPI:1518045061
Name:POLYZOU, ANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:POLYZOU
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 OGDEN ST
Mailing Address - Street 2:APT # 2
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-4917
Mailing Address - Country:US
Mailing Address - Phone:303-617-2838
Mailing Address - Fax:
Practice Address - Street 1:14301 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3902
Practice Address - Country:US
Practice Address - Phone:303-617-2838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical