ELIZABETH PRUDLO
NPI 1386097509
Counselor - Mental Health in Boulder, CO
Active since July 22, 2016
About Elizabeth Prudlo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH PRUDLO (NPI 1386097509) is an individual mental health provider in Boulder, Colorado and active in the NPI registry since July 2016.
NPPES Registry Identity
NPI1386097509
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH PRUDLO
Location Address1333 IRIS AVEBoulder, CO 80304-2226
Mailing Address1333 Iris AveBoulder, CO 80304-2226 · (303) 443-8500
Phone(303) 443-8500
Sole ProprietorNo
Enumeration DateJuly 22, 2016
✔ NPI 1386097509 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1333 IRIS AVE, Boulder, CO 80304
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386097509, enumerated as an "individual" on July 22, 2016.
The provider is located at 1333 IRIS AVE BOULDER, CO 80304 and the phone number is (303) 443-8500.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.