Provider Demographics
NPI:1992036834
Name:COLORADO PSYCHIATRIC ASSOCIATAES, PC
Entity Type:Organization
Organization Name:COLORADO PSYCHIATRIC ASSOCIATAES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY AND TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARLENE
Authorized Official - Middle Name:P
Authorized Official - Last Name:HEGG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-442-4340
Mailing Address - Street 1:2501 WALNUT ST STE 203
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-5753
Mailing Address - Country:US
Mailing Address - Phone:303-442-4340
Mailing Address - Fax:303-442-1125
Practice Address - Street 1:2501 WALNUT ST STE 203
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5753
Practice Address - Country:US
Practice Address - Phone:303-442-4340
Practice Address - Fax:303-442-1125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty