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:
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Health care specialties

SpecialtyCodeLicense #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 15 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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