Israel, Edith
Israel, Edith is an individual health care provider with primary practice located at 4730 Table Mesa Dr Ste A100 Ste 102, Boulder CO 80305-5574. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Israel, Edith can be contacted via phone (303) 444-3823.Contact Information
Primary practice address
4730 Table Mesa Dr Ste A100 Ste 102
Boulder CO 80305-5574
Phone: (303) 444-3823
Fax: (303) 494-5720
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1539 | Colorado |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 041 | Colorado |
Profile Details
NPI number | 1306994934 |
---|---|
LBN Legal business name | Israel, Edith |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 8th, 2007 |
Last updated | Oct 25th, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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