Provider Demographics
NPI:1639106248
Name:ELIZABETH MATTHEWS INC
Entity Type:Organization
Organization Name:ELIZABETH MATTHEWS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PCYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:303-554-0014
Mailing Address - Street 1:8393 STONERIDGE TER
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-9324
Mailing Address - Country:US
Mailing Address - Phone:303-499-8953
Mailing Address - Fax:
Practice Address - Street 1:4770 BASELINE RD.
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2669
Practice Address - Country:US
Practice Address - Phone:303-554-0014
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2551101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty