Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 0004113 | CO |
Y | 103TC0700X | Clinical Psychologist | 0004113 | CO |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 0004113 | CO |
N | 104100000X | Social Worker |
NPI | 1033230990 |
---|---|
Provider Name | Dr. Rebecca Michelle Richey |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 12/09/2018 |