Provider Demographics
NPI:1982852505
Name:AUSTIN, AUBREY ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:AUBREY
Middle Name:ANN
Last Name:AUSTIN
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 1:2121 N FRONTAGE RD W # 220
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81657-4957
Mailing Address - Country:US
Mailing Address - Phone:970-286-0850
Mailing Address - Fax:970-480-5414
Practice Address - Street 1:691 FOUNDERS AVE
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:CO
Practice Address - Zip Code:81631
Practice Address - Country:US
Practice Address - Phone:970-286-0850
Practice Address - Fax:970-480-5414
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0003749103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling