Healthcare Provider Details
I. General information
NPI: 1093264137
Provider Name (Legal Business Name): AVA ROXANNE SCHUMACHER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/30/2016
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1500 N GRANT ST # 8164
DENVER CO
80203-1859
US
IV. Provider business mailing address
3055 ROSLYN ST UNIT 250
DENVER CO
80238-2778
US
V. Phone/Fax
- Phone: 303-351-1858
- Fax:
- Phone: 720-553-2750
- Fax: 720-553-2763
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 0004480 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: