Provider Demographics
NPI:1033952445
Name:GILKEY, RENEE CHRISTINE (PSYD)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:CHRISTINE
Last Name:GILKEY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 OAKLEY DR
Mailing Address - Street 2:
Mailing Address - City:TIMNATH
Mailing Address - State:CO
Mailing Address - Zip Code:80547-4496
Mailing Address - Country:US
Mailing Address - Phone:970-889-8756
Mailing Address - Fax:
Practice Address - Street 1:5001 OAKLEY DR
Practice Address - Street 2:
Practice Address - City:TIMNATH
Practice Address - State:CO
Practice Address - Zip Code:80547-4496
Practice Address - Country:US
Practice Address - Phone:970-889-8756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY3949103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty