Provider Demographics
NPI:1598788812
Name:UNCAPHER, HEATHER ARLENE (PH D)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:ARLENE
Last Name:UNCAPHER
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 PERRY ST
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-2499
Mailing Address - Country:US
Mailing Address - Phone:303-507-4896
Mailing Address - Fax:303-986-4973
Practice Address - Street 1:340 PERRY ST
Practice Address - Street 2:SUITE 220
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-2499
Practice Address - Country:US
Practice Address - Phone:303-507-4896
Practice Address - Fax:303-986-4973
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2553103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO667586OtherBLUE CROSS / BLUE SHIELD
CO667586OtherBLUE CROSS / BLUE SHIELD