Provider Demographics
NPI:1063178218
Name:LEVISAY, CATHERINE (PHD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:LEVISAY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:KATIE
Other - Middle Name:CAREY
Other - Last Name:LEVISAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:2211 S COOK ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-4915
Mailing Address - Country:US
Mailing Address - Phone:720-445-2399
Mailing Address - Fax:
Practice Address - Street 1:4770 E ILIFF AVE STE 233
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6000
Practice Address - Country:US
Practice Address - Phone:720-924-6141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-11
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3445103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical