Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PSY.0004000 | CO |
Y | 103T00000X | Psychologist | PSY.0004000 | CO |
N | 103TC1900X | Counseling Psychologist |
NPI | 1013296219 |
---|---|
Provider Name | Amy Sholler Dreier |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2570 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2011 |
Last Update Date | 22/04/2021 |