Provider Demographics
NPI:1962602383
Name:FISCHER, COLLEEN ANN (PHD)
Entity type:Individual
Prefix:DR
First Name:COLLEEN
Middle Name:ANN
Last Name:FISCHER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:COLLEEN
Other - Middle Name:ANN
Other - Last Name:COMEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:723 DELAWARE ST
Mailing Address - Street 2:PAV M, 3RD FLOOR
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4504
Mailing Address - Country:US
Mailing Address - Phone:303-602-3437
Mailing Address - Fax:303-602-3430
Practice Address - Street 1:777 BANNOCK ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4597
Practice Address - Country:US
Practice Address - Phone:303-602-3437
Practice Address - Fax:303-602-3430
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0003219103TC1900X
CO3219103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling