Healthcare Provider Details

I. General information

NPI: 1912169145
Provider Name (Legal Business Name): NANCY L. SCHLIE PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2008
Last Update Date: 06/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4159 LOWELL BLVD
DENVER CO
80211-1658
US

IV. Provider business mailing address

2406 W DAVIES AVE
LITTLETON CO
80120-3530
US

V. Phone/Fax

Practice location:
  • Phone: 303-883-4391
  • Fax:
Mailing address:
  • Phone: 303-883-4391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number2865
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: