Provider Demographics
NPI:1215201918
Name:REED, SELMA ELAINE (PHD, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SELMA
Middle Name:ELAINE
Last Name:REED
Suffix:
Gender:F
Credentials:PHD, PMHNP-BC
Other - Prefix:
Other - First Name:SELMA
Other - Middle Name:ELAINE
Other - Last Name:LEWKOWITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:90 MADISON ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5418
Mailing Address - Country:US
Mailing Address - Phone:303-323-8575
Mailing Address - Fax:720-600-2272
Practice Address - Street 1:90 MADISON ST
Practice Address - Street 2:SUITE 203
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5418
Practice Address - Country:US
Practice Address - Phone:303-323-8575
Practice Address - Fax:720-600-2272
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-28
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3654103TC0700X
CONP990274363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical