Provider Demographics
NPI:1205922358
Name:REIBMAN, SHAYNA ELIZABETH (PHD)
Entity type:Individual
Prefix:DR
First Name:SHAYNA
Middle Name:ELIZABETH
Last Name:REIBMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 S POTOMAC WAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-1375
Mailing Address - Country:US
Mailing Address - Phone:303-365-0000
Mailing Address - Fax:303-365-0000
Practice Address - Street 1:390 S POTOMAC WAY
Practice Address - Street 2:SUITE C
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-1375
Practice Address - Country:US
Practice Address - Phone:303-365-0000
Practice Address - Fax:303-365-0000
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY 2786103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist