Healthcare Provider Details

I. General information

NPI: 1992133672
Provider Name (Legal Business Name): MCQUEEN & ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2013
Last Update Date: 01/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 STEELE STREET SUITE 201
DENVER CO
80206-5221
US

IV. Provider business mailing address

201 STEELE ST UNIT 201
DENVER CO
80206-5221
US

V. Phone/Fax

Practice location:
  • Phone: 720-466-7252
  • Fax:
Mailing address:
  • Phone: 720-466-7252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number11160
License Number StateCO

VIII. Authorized Official

Name: DR. HEATHER MCQUEEN
Title or Position: REGISTERED PSYCHOTHERAPIST
Credential: PH.D.
Phone: 720-466-7252