Provider Demographics
NPI:1912985177
Name:SCHANKWEILER, GAYE LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:GAYE
Middle Name:LYNN
Last Name:SCHANKWEILER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12995 SHERIDAN BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1480
Mailing Address - Country:US
Mailing Address - Phone:303-410-0224
Mailing Address - Fax:720-566-9734
Practice Address - Street 1:12995 SHERIDAN BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1480
Practice Address - Country:US
Practice Address - Phone:303-410-0224
Practice Address - Fax:720-566-9734
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3376101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO308089OtherMHN PIN#
CT233819OtherCOMPSYCH CORP PIN
CO7996559OtherAETNA NUMBER
CO668073OtherANTHEM BC/BS PIN