Provider Demographics
NPI:1740429695
Name:ROBY, EMILY (PSYD)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:ROBY
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 1:1435 LARIMER ST STE 206
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1746
Mailing Address - Country:US
Mailing Address - Phone:720-949-7159
Mailing Address - Fax:888-971-4047
Practice Address - Street 1:1435 LARIMER ST
Practice Address - Street 2:SUITE #206
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-2208
Practice Address - Country:US
Practice Address - Phone:720-949-7159
Practice Address - Fax:720-949-7159
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5149101YP2500X
CO3419103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional