Provider Demographics
NPI:1144366501
Name:KOMLOS-HROBSKY, ELISABETH MARGARITA (PHD)
Entity type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:MARGARITA
Last Name:KOMLOS-HROBSKY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2029 BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-4290
Mailing Address - Country:US
Mailing Address - Phone:303-786-7065
Mailing Address - Fax:
Practice Address - Street 1:12 GARDEN CTR
Practice Address - Street 2:SUITE #210
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-7084
Practice Address - Country:US
Practice Address - Phone:303-466-3007
Practice Address - Fax:303-464-1413
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent