Provider Demographics
NPI:1154391894
Name:STOLOFF, CAROLYN RUTH (PHD)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:RUTH
Last Name:STOLOFF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:445 UNION BOULEVARD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1241
Mailing Address - Country:US
Mailing Address - Phone:303-790-5061
Mailing Address - Fax:303-278-3487
Practice Address - Street 1:445 UNION BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1241
Practice Address - Country:US
Practice Address - Phone:303-790-5061
Practice Address - Fax:303-278-3487
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO760103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07104383Medicaid
CO07104383Medicaid