Provider Demographics
NPI:1205591369
Name:KASPER, EMILY DANIELLE (MED, EDS, LPC)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:DANIELLE
Last Name:KASPER
Suffix:
Gender:F
Credentials:MED, EDS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20392 E LASALLE PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-9050
Mailing Address - Country:US
Mailing Address - Phone:352-262-8070
Mailing Address - Fax:
Practice Address - Street 1:20392 E LASALLE PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-9050
Practice Address - Country:US
Practice Address - Phone:719-679-3262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0016787101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health