Provider Demographics
NPI:1659593879
Name:ZIADY, ANGELA MARIE (BA)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:MARIE
Last Name:ZIADY
Suffix:
Gender:F
Credentials:BA
Other - Prefix:MRS
Other - First Name:ANJEE
Other - Middle Name:M
Other - Last Name:ZIADY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA
Mailing Address - Street 1:12366 WINONA CT
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-5651
Mailing Address - Country:US
Mailing Address - Phone:303-410-0130
Mailing Address - Fax:
Practice Address - Street 1:12 GARDEN CTR
Practice Address - Street 2:STE. 210
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-7084
Practice Address - Country:US
Practice Address - Phone:303-466-3007
Practice Address - Fax:303-464-1413
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health