Provider Demographics
NPI:1659345544
Name:WEIMER, ARLENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:
Last Name:WEIMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 S BRYANT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-3545
Mailing Address - Country:US
Mailing Address - Phone:719-406-4079
Mailing Address - Fax:
Practice Address - Street 1:720 S BRYANT ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-3545
Practice Address - Country:US
Practice Address - Phone:719-406-4079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0000554103TC1900X
CO554103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07005549Medicaid
CO07005549Medicaid
CO90716Medicare ID - Type Unspecified