Provider Demographics
NPI:1932481538
Name:IZMIRIAN, SONIA CHRISTINA (PHD)
Entity Type:Individual
Prefix:
First Name:SONIA
Middle Name:CHRISTINA
Last Name:IZMIRIAN
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 1:10333 E DRY CREEK RD STE 350
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1549
Mailing Address - Country:US
Mailing Address - Phone:303-222-5300
Mailing Address - Fax:303-222-5301
Practice Address - Street 1:10333 E DRY CREEK RD STE 350
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-1549
Practice Address - Country:US
Practice Address - Phone:303-222-5300
Practice Address - Fax:303-222-5301
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0004874103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty