Individual
ERIN ELAINE SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-6000
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY.0005939
CO
103TC0700X
Clinical Psychologist
Primary
PSY5939
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2021
Last updated
07/15/2024
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