Reaven, Judith

Reaven, Judith is an individual health care provider with primary practice located at 13121 E 17Th Ave , Aurora CO 80045-2535. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Reaven, Judith can be contacted via phone (303) 315-6503.

Contact Information

Primary practice address
13121 E 17Th Ave Aurora CO 80045-2535
Phone: (303) 315-6503
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1190 Colorado
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY.0001190 Colorado

Profile Details

NPI number 1659459519
LBN Legal business name Reaven, Judith
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 10th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659459519 NPPES
Colorado MEDICAID 74629701

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