Carolyn Aibel, PH.D.
Individual provider Active NPI Psychologist · Boulder, CO
NPI 1881892495 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881892495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2882 (CO)
- Practice address
- 3002 Bluff St
Suite 200
Boulder, CO 80301-2162 - Phone
- (720) 470-0010
- Fax
- (303) 200-7098
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2882 | CO | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Luna Center, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2882 | CO | Yes |
Addresses
Primary practice location
3002 Bluff St
Suite 200
Boulder, CO 80301-2162
Mailing address
464 Morrison Aly
Boulder, CO 80302-4924
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.