Healthcare Provider Details

I. General information

NPI: 1326797572
Provider Name (Legal Business Name): AMELIA ABBOTT-FREY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 07/15/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 N REVERE CT
AURORA CO
80045-7464
US

IV. Provider business mailing address

1890 N REVERE CT
AURORA CO
80045-7464
US

V. Phone/Fax

Practice location:
  • Phone: 303-724-4940
  • Fax:
Mailing address:
  • Phone: 303-724-4940
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number0075347
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: