Provider Demographics
NPI:1558609149
Name:KEVIN ALBERT, PSY.D., P.C.
Entity Type:Organization
Organization Name:KEVIN ALBERT, PSY.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:303-794-7761
Mailing Address - Street 1:11 W DRY CREEK CIR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8077
Mailing Address - Country:US
Mailing Address - Phone:303-794-7761
Mailing Address - Fax:303-794-7811
Practice Address - Street 1:11 W DRY CREEK CIR
Practice Address - Street 2:SUITE 140
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8077
Practice Address - Country:US
Practice Address - Phone:303-794-7761
Practice Address - Fax:303-794-7811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1532103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty