Organization Name: | ANNE S. CABANILLA, PSY.D., INC. |
NPI Number: | 1306169784 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANNE S. CABANILLA (PRINCIPAL OFFICER) |
Mailing Address: | 934 Big Thompson Ave Estes Park |
State: | CO US |
Postal Code: | 805178905 |
Phone Number: | 9705861090 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2010 |
NPI Last Update Date: | 02/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 3050 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |