Provider Demographics
NPI:1851542047
Name:BILETT, JANE L (PHD, FICPP)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:L
Last Name:BILETT
Suffix:
Gender:F
Credentials:PHD, FICPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 S VALENTIA ST
Mailing Address - Street 2:UNIT 150
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-6817
Mailing Address - Country:US
Mailing Address - Phone:303-435-5522
Mailing Address - Fax:
Practice Address - Street 1:1011 S VALENTIA ST
Practice Address - Street 2:UNIT 150
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-6817
Practice Address - Country:US
Practice Address - Phone:303-435-5522
Practice Address - Fax:303-745-5565
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO489103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC82626Medicare UPIN