Provider Demographics
NPI:1750561262
Name:GOLDNER, LAURA (PSYD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:GOLDNER
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 1:950 SOUTH CHERRY STREET
Mailing Address - Street 2:SUITE 419
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-2662
Mailing Address - Country:US
Mailing Address - Phone:303-378-0501
Mailing Address - Fax:303-782-9008
Practice Address - Street 1:950 SOUTH CHERRY STREET
Practice Address - Street 2:SUITE 419
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-2662
Practice Address - Country:US
Practice Address - Phone:303-378-0501
Practice Address - Fax:303-782-9008
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-13
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor