MEDICARE: COLLEEN ELIZABETH CORCORAN PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY.0006251	CO

General Provider Information

NPI Number	:	1801460050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLEEN ELIZABETH CORCORAN PHD

Provider Business Mailing Address
First Line	:	1557 N OGDEN ST STE 2
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1490
Country	:	US
Telephone Number	:	720-277-9217
Fax Number	:

Provider Business Practice Location Address
First Line	:	1557 N OGDEN ST STE 2
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1490
Country	:	US
Telephone Number	:	720-277-9217
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2021
Last Update Date	:	06/10/2026

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