Healthcare Provider Details

I. General information

NPI: 1962602383
Provider Name (Legal Business Name): COLLEEN ANN FISCHER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COLLEEN ANN COMEAU PH.D.

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 BANNOCK ST
DENVER CO
80204-4597
US

IV. Provider business mailing address

723 DELAWARE ST PAV M, 3RD FLOOR
DENVER CO
80204-4504
US

V. Phone/Fax

Practice location:
  • Phone: 303-602-3437
  • Fax: 303-602-3430
Mailing address:
  • Phone: 303-602-3437
  • Fax: 303-602-3430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number0003219
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number3219
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: