Provider Demographics
NPI:1952651861
Name:NANCY O. READ, PHD, LICENSED PSYCHOLOGIST, PLLC
Entity Type:Organization
Organization Name:NANCY O. READ, PHD, LICENSED PSYCHOLOGIST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:OLIVER
Authorized Official - Last Name:READ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:218-355-0536
Mailing Address - Street 1:PO BOX 4232
Mailing Address - Street 2:100 W. COLORADO AVE, SUITE 240F
Mailing Address - City:TELLURIDE
Mailing Address - State:CO
Mailing Address - Zip Code:81435-4232
Mailing Address - Country:US
Mailing Address - Phone:218-355-0536
Mailing Address - Fax:
Practice Address - Street 1:100 W. COLORADO AVE
Practice Address - Street 2:SUITE 240F
Practice Address - City:TELLURIDE
Practice Address - State:CO
Practice Address - Zip Code:81435
Practice Address - Country:US
Practice Address - Phone:218-355-0536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3734251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health