Provider Demographics
NPI:1700174190
Name:OBERLE, SHALYN (MA)
Entity Type:Individual
Prefix:
First Name:SHALYN
Middle Name:
Last Name:OBERLE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 S PARKER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-7553
Mailing Address - Country:US
Mailing Address - Phone:303-337-2210
Mailing Address - Fax:
Practice Address - Street 1:1211 S PARKER RD
Practice Address - Street 2:SUITE 200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-7553
Practice Address - Country:US
Practice Address - Phone:303-337-2210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities