Provider Demographics
NPI:1699869339
Name:ANKER, ANTOINETTE LEONE (PHD)
Entity type:Individual
Prefix:DR
First Name:ANTOINETTE
Middle Name:LEONE
Last Name:ANKER
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 1:211 ASH STREET
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-5620
Mailing Address - Country:US
Mailing Address - Phone:303-331-9093
Mailing Address - Fax:303-331-6985
Practice Address - Street 1:222 MILWAUKEE STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206
Practice Address - Country:US
Practice Address - Phone:720-272-4911
Practice Address - Fax:303-331-6985
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO849103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO46100831Medicaid
CO46100831Medicaid