Provider Demographics
NPI:1730486317
Name:O'BRIEN, RUTH SHELHAMER (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:SHELHAMER
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6245 SILVERADO TRL
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-2915
Mailing Address - Country:US
Mailing Address - Phone:719-257-3926
Mailing Address - Fax:
Practice Address - Street 1:3225 TEMPLETON GAP RD STE 107
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-8728
Practice Address - Country:US
Practice Address - Phone:719-257-3926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-17
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103T00000X
COPSY.0004743103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical