Provider Demographics
NPI:1528269958
Name:WOLFSOHN, ROBERT ABRAHAM (PSYD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ABRAHAM
Last Name:WOLFSOHN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5716 S BAHAMA CIR E
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-3152
Mailing Address - Country:US
Mailing Address - Phone:720-220-8651
Mailing Address - Fax:
Practice Address - Street 1:4255 EAST JEWELL AVENUE, SUITE 916
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222
Practice Address - Country:US
Practice Address - Phone:720-220-8651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1376103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist