Provider Demographics
NPI:1922603208
Name:VOTAW-FREER, CORINNE J (PSYD)
Entity type:Individual
Prefix:DR
First Name:CORINNE
Middle Name:J
Last Name:VOTAW-FREER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:CORINNE
Other - Middle Name:J
Other - Last Name:VOTAW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PSYD
Mailing Address - Street 1:7900 E UNION AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-2735
Mailing Address - Country:US
Mailing Address - Phone:303-956-9684
Mailing Address - Fax:
Practice Address - Street 1:7900 E UNION AVE STE 110
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-2735
Practice Address - Country:US
Practice Address - Phone:303-956-9684
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPSY6298103TC1900X, 103TC0700X
CA2013009103TF0000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily