Provider Demographics
NPI:1306169784
Name:ANNE S. CABANILLA, PSY.D., INC.
Entity type:Organization
Organization Name:ANNE S. CABANILLA, PSY.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:CABANILLA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:970-586-1090
Mailing Address - Street 1:1090 ELK TRAIL CT
Mailing Address - Street 2:
Mailing Address - City:ESTES PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80517-9437
Mailing Address - Country:US
Mailing Address - Phone:970-586-1090
Mailing Address - Fax:
Practice Address - Street 1:934 BIG THOMPSON AVE
Practice Address - Street 2:
Practice Address - City:ESTES PARK
Practice Address - State:CO
Practice Address - Zip Code:80517-8905
Practice Address - Country:US
Practice Address - Phone:970-586-1090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-12
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3050103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty