Provider Demographics
NPI:1598375115
Name:WEINTRAUB, JEANNE
Entity type:Individual
Prefix:
First Name:JEANNE
Middle Name:
Last Name:WEINTRAUB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 MONROE DR APT B
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2153
Mailing Address - Country:US
Mailing Address - Phone:603-661-0665
Mailing Address - Fax:
Practice Address - Street 1:GRIFFITH CENTERS FOR CHILDREN
Practice Address - Street 2:10465 MELODY DR SUITE 325
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234
Practice Address - Country:US
Practice Address - Phone:720-485-3826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor