Provider Demographics
NPI:1003469651
Name:BRANSON, ALLENA (PSYD)
Entity type:Individual
Prefix:DR
First Name:ALLENA
Middle Name:
Last Name:BRANSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:ALENA
Other - Middle Name:
Other - Last Name:BRANSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9694 W 87TH CIR
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-1218
Mailing Address - Country:US
Mailing Address - Phone:720-626-7633
Mailing Address - Fax:
Practice Address - Street 1:9694 W 87TH CIR
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-1218
Practice Address - Country:US
Practice Address - Phone:303-550-8683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-23
Last Update Date:2025-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY.0006696103T00000X
CO24414132103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No103T00000XBehavioral Health & Social Service ProvidersPsychologist