Provider Demographics
NPI:1982225413
Name:SKOCEN, YAMY (PSYCHOTHERAPIST)
Entity Type:Individual
Prefix:
First Name:YAMY
Middle Name:
Last Name:SKOCEN
Suffix:
Gender:F
Credentials:PSYCHOTHERAPIST
Other - Prefix:
Other - First Name:YAMY
Other - Middle Name:
Other - Last Name:HITCHCOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:YAMY HITCHCOCK
Mailing Address - Street 1:805 SUMMER HAWK DR APT Y145
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-8828
Mailing Address - Country:US
Mailing Address - Phone:303-219-3295
Mailing Address - Fax:
Practice Address - Street 1:805 SUMMER HAWK DR APT Y145
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-8828
Practice Address - Country:US
Practice Address - Phone:303-219-3295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-06
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0110496101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health