Provider Demographics
NPI:1134887078
Name:SHUDY, ALISHA JOY (CGC)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:JOY
Last Name:SHUDY
Suffix:
Gender:F
Credentials:CGC
Other - Prefix:
Other - First Name:ALISHA
Other - Middle Name:
Other - Last Name:STUBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 INDIANA ST STE 300
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-5027
Mailing Address - Country:US
Mailing Address - Phone:303-425-8191
Mailing Address - Fax:303-812-3355
Practice Address - Street 1:400 INDIANA ST STE 300
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-5027
Practice Address - Country:US
Practice Address - Phone:303-425-8191
Practice Address - Fax:303-812-3355
Is Sole Proprietor?:No
Enumeration Date:2021-12-07
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS