Provider Demographics
NPI:1700967668
Name:POLLACK, JAMIE HOPE (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:HOPE
Last Name:POLLACK
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7780 S BROADWAY
Mailing Address - Street 2:STE 340
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2648
Mailing Address - Country:US
Mailing Address - Phone:303-730-4400
Mailing Address - Fax:303-730-4401
Practice Address - Street 1:7780 S BROADWAY
Practice Address - Street 2:STE 340
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80122-2648
Practice Address - Country:US
Practice Address - Phone:303-730-4400
Practice Address - Fax:303-730-4401
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7092103G00000X
COPSY.0004363103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist