Provider Demographics
NPI:1548277981
Name:HOLLANDER, SUSAN LEE (PHD)
Entity type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:LEE
Last Name:HOLLANDER
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 1:6067 S KINGSTON CIR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5732
Mailing Address - Country:US
Mailing Address - Phone:303-220-8400
Mailing Address - Fax:303-220-8401
Practice Address - Street 1:6067 S KINGSTON CIR
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111-5732
Practice Address - Country:US
Practice Address - Phone:303-220-8400
Practice Address - Fax:303-220-8401
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO991274101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health