Healthcare Provider Details

I. General information

NPI: 1497052815
Provider Name (Legal Business Name): TAMARA PRYOR LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2011
Last Update Date: 02/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 S CHERRY ST SUITE 1010
DENVER CO
80246-2699
US

IV. Provider business mailing address

950 S CHERRY ST SUITE 1010
DENVER CO
80246-2699
US

V. Phone/Fax

Practice location:
  • Phone: 720-889-4227
  • Fax: 720-889-4258
Mailing address:
  • Phone: 720-889-4227
  • Fax: 720-889-4258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4399
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: