Provider Demographics
NPI:1518980358
Name:MAYER, TERESA V (MD)
Entity type:Individual
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First Name:TERESA
Middle Name:V
Last Name:MAYER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-360-3030
Mailing Address - Fax:303-360-3275
Practice Address - Street 1:700 POTOMAC ST
Practice Address - Street 2:ADMINISTRATION
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-6844
Practice Address - Country:US
Practice Address - Phone:303-360-3030
Practice Address - Fax:303-360-3275
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2023-11-02
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Provider Licenses
StateLicense IDTaxonomies
CO394312084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO68655541Medicaid
COI23266Medicare UPIN
COP01623317Medicare PIN
CO68655541Medicaid