Healthcare Provider Details

I. General information

NPI: 1699923862
Provider Name (Legal Business Name): ASHLEY MARIE VOLLMER HANNA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2008
Last Update Date: 10/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8420 S CONTINENTAL DIVIDE RD SUITE 222
LITTLETON CO
80127-4253
US

IV. Provider business mailing address

PO BOX 11644
DENVER CO
80211-0644
US

V. Phone/Fax

Practice location:
  • Phone: 303-961-7860
  • Fax:
Mailing address:
  • Phone: 303-961-7860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1037
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: