Provider Demographics
NPI:1881892495
Name:AIBEL, CAROLYN (PHD)
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:AIBEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:464 MORRISON ALY
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-4924
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:303-200-7098
Practice Address - Street 1:3002 BLUFF ST
Practice Address - Street 2:SUITE 200
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-2162
Practice Address - Country:US
Practice Address - Phone:720-470-0010
Practice Address - Fax:303-200-7098
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2882103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist