Healthcare Provider Details

I. General information

NPI: 1659345544
Provider Name (Legal Business Name): ARLENE WEIMER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 S BRYANT ST
DENVER CO
80219-3545
US

IV. Provider business mailing address

720 S BRYANT ST
DENVER CO
80219-3545
US

V. Phone/Fax

Practice location:
  • Phone: 719-406-4079
  • Fax:
Mailing address:
  • Phone: 719-406-4079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY.0000554
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number554
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: