Provider Demographics
NPI:1124222310
Name:GEVA, ANAT (PSYD)
Entity type:Individual
Prefix:MS
First Name:ANAT
Middle Name:
Last Name:GEVA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6760 E CEDAR AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3888
Mailing Address - Country:US
Mailing Address - Phone:720-400-3085
Mailing Address - Fax:
Practice Address - Street 1:6760 E CEDAR AVE UNIT A
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3888
Practice Address - Country:US
Practice Address - Phone:720-400-3085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2019-03-26
Deactivation Date:2012-03-02
Deactivation Code:
Reactivation Date:2014-04-16
Provider Licenses
StateLicense IDTaxonomies
CO11332101Y00000X
CO4450103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor