Provider Demographics
NPI:1699826974
Name:REWEY, HELEN H (PHD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:H
Last Name:REWEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6081 S QUEBEC ST STE 203
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4538
Mailing Address - Country:US
Mailing Address - Phone:303-220-8859
Mailing Address - Fax:303-220-8865
Practice Address - Street 1:6081 S QUEBEC ST STE 203
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-4538
Practice Address - Country:US
Practice Address - Phone:303-220-8859
Practice Address - Fax:303-220-8865
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO243103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC514218Medicare PIN