Provider Demographics
NPI:1457539603
Name:STEFFEN, HEATHER L (PSYD)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:L
Last Name:STEFFEN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4770 BASELINE RD
Mailing Address - Street 2:STE 200
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2668
Mailing Address - Country:US
Mailing Address - Phone:720-893-0842
Mailing Address - Fax:617-507-1426
Practice Address - Street 1:4770 BASELINE RD STE 200
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2668
Practice Address - Country:US
Practice Address - Phone:720-893-0842
Practice Address - Fax:617-507-1426
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TH0004X
CO0003610103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth