Provider Demographics
NPI:1780935882
Name:INMAN, EMILY ANN (PSYD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:ANN
Last Name:INMAN
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 1:1283 KELLY JOHNSON BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3925
Mailing Address - Country:US
Mailing Address - Phone:719-413-6776
Mailing Address - Fax:719-203-6847
Practice Address - Street 1:1426 N HANCOCK AVE
Practice Address - Street 2:SUITE 5N
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2618
Practice Address - Country:US
Practice Address - Phone:719-650-8559
Practice Address - Fax:719-447-0371
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3997103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical