Healthcare Provider Details

I. General information

NPI: 1558510529
Provider Name (Legal Business Name): MEREDITH COHN SHEFFERMAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2008
Last Update Date: 02/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 S BELLAIRE ST SUITE 500
DENVER CO
80222-4305
US

IV. Provider business mailing address

1805 S BELLAIRE ST SUITE 500
DENVER CO
80222-4305
US

V. Phone/Fax

Practice location:
  • Phone: 303-993-9885
  • Fax: 303-399-0650
Mailing address:
  • Phone: 303-993-9885
  • Fax: 303-399-0650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number3208
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: