Provider Demographics
NPI:1609310689
Name:SEITTER, SHELBY (LAC, MSW, ADS)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:SEITTER
Suffix:
Gender:F
Credentials:LAC, MSW, ADS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 CALIFORNIA ST APT 637
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-3527
Mailing Address - Country:US
Mailing Address - Phone:303-646-7592
Mailing Address - Fax:
Practice Address - Street 1:6505 S PARIS ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-6503
Practice Address - Country:US
Practice Address - Phone:720-571-0022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-12
Last Update Date:2021-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical