Provider Demographics
NPI:1316164734
Name:HILDEBRAN, NADINE 'DINA' ELIAS (PSYD)
Entity type:Individual
Prefix:DR
First Name:NADINE 'DINA'
Middle Name:ELIAS
Last Name:HILDEBRAN
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 1:10455 PARK MEADOWS DR
Mailing Address - Street 2:1-102
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5599
Mailing Address - Country:US
Mailing Address - Phone:303-502-6172
Mailing Address - Fax:303-708-0247
Practice Address - Street 1:10455 PARK MEADOWS DR
Practice Address - Street 2:1-102
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5599
Practice Address - Country:US
Practice Address - Phone:303-502-6172
Practice Address - Fax:303-708-0247
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2839103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist