Healthcare Provider Details

I. General information

NPI: 1619720182
Provider Name (Legal Business Name): FROYDIS LANDAAS PSY.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2024
Last Update Date: 04/08/2024
Certification Date: 03/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4597
US

IV. Provider business mailing address

610 S DAHLIA CIR APT L-101
GLENDALE CO
80246-1376
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-4000
  • Fax:
Mailing address:
  • Phone: 720-347-5234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY.0002950
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: