Provider Demographics
NPI:1588112460
Name:KATHLEEN CHABIN, PSYD, PC
Entity type:Organization
Organization Name:KATHLEEN CHABIN, PSYD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHABIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:303-907-3381
Mailing Address - Street 1:7000 E BELLEVIEW AVE
Mailing Address - Street 2:SUITE 350
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-1617
Mailing Address - Country:US
Mailing Address - Phone:303-907-3381
Mailing Address - Fax:303-770-6501
Practice Address - Street 1:7000 E BELLEVIEW AVE
Practice Address - Street 2:SUITE 350
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-1617
Practice Address - Country:US
Practice Address - Phone:303-907-3381
Practice Address - Fax:303-770-6501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2494103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty