Individual
DR. EDITH ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4730 TABLE MESA DR STE A100, STE 102, BOULDER, CO 80305-5574
(303) 444-3823
(303) 494-5720
Mailing address
5310 WARD RD, SUITE 106, ARVADA, CO 80002-1832
(303) 278-7418
(888) 341-5050
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1539
CO
106H00000X
Marriage & Family Therapist
041
CO
Other
Enumeration date
01/08/2007
Last updated
10/25/2010
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