Healthcare Provider Details

I. General information

NPI: 1376161430
Provider Name (Legal Business Name): ALLISON PAIGE KREIDT B.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2020
Last Update Date: 07/06/2020
Certification Date: 07/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2450 S VINE ST
DENVER CO
80210-5264
US

IV. Provider business mailing address

4400 E MISSISSIPPI AVE APT 106
DENVER CO
80246-3107
US

V. Phone/Fax

Practice location:
  • Phone: 720-441-3501
  • Fax:
Mailing address:
  • Phone: 919-452-9937
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: