Provider Demographics
NPI:1205903341
Name:BELLON, KATHERINE K (PHD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:K
Last Name:BELLON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1777 S HARRISON ST
Mailing Address - Street 2:SUITE 800
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3925
Mailing Address - Country:US
Mailing Address - Phone:303-300-6564
Mailing Address - Fax:303-756-2872
Practice Address - Street 1:1777 S HARRISON ST
Practice Address - Street 2:SUITE 800
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3925
Practice Address - Country:US
Practice Address - Phone:303-300-6564
Practice Address - Fax:303-756-2872
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO3782103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical