Provider Demographics
NPI:1013172758
Name:ALI, ASMA (PSYD, ABPP)
Entity type:Individual
Prefix:DR
First Name:ASMA
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:PSYD, ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4833 FRONT ST UNIT B417
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-7902
Mailing Address - Country:US
Mailing Address - Phone:720-628-9090
Mailing Address - Fax:
Practice Address - Street 1:7501 VILLAGE SQUARE DR STE 207
Practice Address - Street 2:
Practice Address - City:CASTLE PINES
Practice Address - State:CO
Practice Address - Zip Code:80108-3708
Practice Address - Country:US
Practice Address - Phone:720-628-9090
Practice Address - Fax:833-523-2390
Is Sole Proprietor?:No
Enumeration Date:2008-07-22
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0004435103TC0700X
GAPSY003834103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical