IndividualActive
Nicole Yazdi, MA, R-DMT, LCAT-LP
NPI 1083123574 · Dance Therapist · Boulder, CO
Provider details
- NPI number
- 1083123574
- Entity type
- Individual
- Primary specialty
- Dance TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MA, R-DMT, LCAT-LP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
1150 Maxwell Ave Ste 200
Boulder, CO 80304-4185
Phone: (800) 261-0127
Approximate (ZIP-level) locationGet directions
Mailing address
1150 Maxwell Ave Ste 200
Boulder, CO 80304-4185
Additional practice locations (1)
- 1366 Inwood AveBronx, NY 10452-3203Phone: (929) 288-4320
Registry dates
- Enumerated
- 2017-09-27
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.