Provider Demographics
NPI:1265105001
Name:SILVER, SOPHIA BUCHHOLZ
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:BUCHHOLZ
Last Name:SILVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2797 WEWATTA WAY UNIT 1045
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80216-3621
Mailing Address - Country:US
Mailing Address - Phone:720-939-2187
Mailing Address - Fax:
Practice Address - Street 1:4800 TELLURIDE ST BLDG 5
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-6803
Practice Address - Country:US
Practice Address - Phone:720-939-2187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0017190101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health