Provider Demographics
NPI:1790368439
Name:WEHNER CHILD AND ADOLESCENT PSYCHOLOGY
Entity Type:Organization
Organization Name:WEHNER CHILD AND ADOLESCENT PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WEHNER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-316-5045
Mailing Address - Street 1:950 S CHERRY ST STE 712
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-2665
Mailing Address - Country:US
Mailing Address - Phone:303-316-5045
Mailing Address - Fax:
Practice Address - Street 1:950 S CHERRY ST STE 712
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-2665
Practice Address - Country:US
Practice Address - Phone:303-316-5045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)