JEAN VAN DE POLDER M.D. NPI 1073686762

NPI Information

Jean Van De Polder, M.D. is a child and adolescent psychiatry psychiatry neurology in Aurora, CO. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Jean Van De Polder, M.D. NPI is 1073686762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1646 ELMIRA ST
AURORA, CO
ZIP 80010-122
Phone: (303) 617-2498
Fax: (303) 617-2832

The NPI 1073686762 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 6/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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