Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | ||
N | 102L00000X | Psychologist | 0004968 | CO |
N | 103T00000X | Psychologist | 0004968 | CO |
Y | 103TC1900X | Counseling Psychologist | 0004968 | CO |
NPI | 1093982704 |
---|---|
Provider Name | Dr. Shoshana Aal |
First Address | Denver, CO 80203-3155 |
Second Address | Denver, CO 80203-3155 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2008 |
Last Update Date | 07/01/2019 |