IndividualActive
Alisa Shanks, PH.D.
NPI 1598955429 · Clinical Psychologist · Boulder, CO
Provider details
- NPI number
- 1598955429
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2787 (CO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
Wardenburg Student Health Center - Php
Ucb 119
Boulder, CO 80309-0001
Phone: (303) 492-2038
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7043
Broomfield, CO 80021-0018
Registry dates
- Enumerated
- 2007-07-26
- Last updated
- 2007-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.