Provider Demographics
NPI:1659793347
Name:AYDEMIR, CELAL
Entity Type:Individual
Prefix:
First Name:CELAL
Middle Name:
Last Name:AYDEMIR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 S WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2639
Mailing Address - Country:US
Mailing Address - Phone:720-251-5298
Mailing Address - Fax:
Practice Address - Street 1:2600 S PARKER RD
Practice Address - Street 2:BUILDING 5, SUITE 250
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1613
Practice Address - Country:US
Practice Address - Phone:303-412-3664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)