Provider Demographics
NPI:1912557281
Name:NARR, RAE KATHLEEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:RAE
Middle Name:KATHLEEN
Last Name:NARR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 BANNOCK ST.
Mailing Address - Street 2:PAVILION C
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-1507
Mailing Address - Country:US
Mailing Address - Phone:036-024-4583
Mailing Address - Fax:
Practice Address - Street 1:777 BANNOCK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4597
Practice Address - Country:US
Practice Address - Phone:303-602-6760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSYC00014263103TC0700X
CO5372103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical