Provider Demographics
NPI:1336746429
Name:EMICH, ALEXIS (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:
Last Name:EMICH
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 1:950 S CHERRY ST STE 421
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80246-2665
Mailing Address - Country:US
Mailing Address - Phone:720-722-4022
Mailing Address - Fax:
Practice Address - Street 1:950 S CHERRY ST STE 421
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-2665
Practice Address - Country:US
Practice Address - Phone:720-722-4022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-02
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4053103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical