Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 1811 | CO |
N | 103T00000X | Psychologist | 1811 | CO |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 1811 | CO |
N | 103TA0700X | Adult Development & Aging Psychologist | 1811 | CO |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 1811 | CO |
N | 103G00000X | Clinical Psychologist | 1811 | CO |
N | 103TC0700X | Clinical Psychologist | 1811 | CO |
NPI | 1578764973 |
---|---|
Provider Name | Dr. Karen Betstadt |
First Address | Denver, CO 80209-2123 |
Second Address | Denver, CO 80209-2123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 08/07/2007 |