Provider Demographics
NPI:1942306329
Name:ROTTINI, ALLISON MARIE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:MARIE
Last Name:ROTTINI
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 1:123 NW AYLESWORTH
Mailing Address - Street 2:CSU HEALTH NETWORK
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80523
Mailing Address - Country:US
Mailing Address - Phone:970-491-3654
Mailing Address - Fax:
Practice Address - Street 1:123 NW AYLESWORTH
Practice Address - Street 2:CSU HEALTH NETWORK
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80523
Practice Address - Country:US
Practice Address - Phone:970-491-3654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3170103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth