Provider Demographics
NPI:1053916874
Name:HEIDI SALTZMAN PHD
Entity type:Organization
Organization Name:HEIDI SALTZMAN PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:F
Authorized Official - Last Name:SALTZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:303-810-5856
Mailing Address - Street 1:PO BOX 854
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-0854
Mailing Address - Country:US
Mailing Address - Phone:303-810-5856
Mailing Address - Fax:
Practice Address - Street 1:302 CLARK RD
Practice Address - Street 2:
Practice Address - City:BAILEY
Practice Address - State:CO
Practice Address - Zip Code:80421-1213
Practice Address - Country:US
Practice Address - Phone:303-810-5856
Practice Address - Fax:303-816-1337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)