Healthcare Provider Details

I. General information

NPI: 1598135667
Provider Name (Legal Business Name): LARA FALER-COHEN PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LARA RUTH COHEN PSYD

II. Dates (important events)

Enumeration Date: 10/01/2015
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11001 W 120TH AVE STE 400
BROOMFIELD CO
80021-3493
US

IV. Provider business mailing address

6005 W 61ST AVE
ARVADA CO
80003-5607
US

V. Phone/Fax

Practice location:
  • Phone: 720-807-2919
  • Fax:
Mailing address:
  • Phone: 617-599-0817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5737
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: