Individual
SUSAN SHAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1980 DAHLIA ST, DENVER, CO 80220-1239
(303) 758-6087
(303) 639-5243
Mailing address
1385 S COLORADO BLVD, SUITE A210, DENVER, CO 80222-3304
(303) 639-5240
(303) 639-5243
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2714
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417962234
GROUP NPI
CO
Enumeration date
08/28/2006
Last updated
07/08/2007
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