Provider Demographics
NPI:1699910240
Name:AUXIER, ANDREA MARIA (PHD)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:MARIA
Last Name:AUXIER
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 1:203 SOUTH ROLLIE AVE
Mailing Address - Street 2:PLAN DE SALUD DEL VALLE, INC.
Mailing Address - City:FORT LUPTON
Mailing Address - State:CO
Mailing Address - Zip Code:80621
Mailing Address - Country:US
Mailing Address - Phone:303-286-4560
Mailing Address - Fax:303-286-4589
Practice Address - Street 1:5995 IRIS PARKWAY
Practice Address - Street 2:SALUD FAMILY HEALTH CENTERS
Practice Address - City:FREDERICK
Practice Address - State:CO
Practice Address - Zip Code:80530
Practice Address - Country:US
Practice Address - Phone:303-833-2050
Practice Address - Fax:303-833-9183
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3246103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical