Provider Demographics
NPI:1831778737
Name:DOLEJSOVA, BARBORA
Entity type:Individual
Prefix:
First Name:BARBORA
Middle Name:
Last Name:DOLEJSOVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 KENDALL DR
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305-6939
Mailing Address - Country:US
Mailing Address - Phone:720-645-4968
Mailing Address - Fax:
Practice Address - Street 1:1580 KENDALL DR
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305-6939
Practice Address - Country:US
Practice Address - Phone:303-527-7194
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health