Doctor Name: | DR. JANE CLEVELAND |
NPI Number: | 1003074618 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 3152 |
Business Practice Address: | 6021 S Syracuse Way Ste 201 Greenwood Village, CO - 801114747 |
Business Phone Number: | 3037790609 |
Business Fax Number: | |
Mailing Address: | 6021 S Syracuse Way Ste 201, GREENWOOD VILLAGE |
State: | CO |
Postal Code: | 801114747 |
Phone Number: | 3037790609 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2008 |
NPI Last Update Date: | 03/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |