Provider Demographics
NPI:1184274367
Name:DAWSON, SOO-YEON
Entity type:Individual
Prefix:
First Name:SOO-YEON
Middle Name:
Last Name:DAWSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6767 S VINE ST # 1119
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3171
Mailing Address - Country:US
Mailing Address - Phone:720-805-8060
Mailing Address - Fax:
Practice Address - Street 1:6767 S VINE ST # 1119
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-3171
Practice Address - Country:US
Practice Address - Phone:720-805-8060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist