Provider Demographics
NPI:1811160591
Name:ALLISON-MYERS, KATHLEEN
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:ALLISON-MYERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3153 W CLYDE PL
Mailing Address - Street 2:APT B
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2793
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:900 S BROADWAY
Practice Address - Street 2:SUITE 100 - STAFFING
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4198
Practice Address - Country:US
Practice Address - Phone:303-603-3020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health