| Dr Richard Shane, PHD | |
| 3980 Broadway St, Suite 103-165, Boulder, CO 80304-1133 | |
| (303) 304-9933 | |
| (720) 294-8350 | 
| Full Name | Dr Richard Shane | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 3980 Broadway St, Boulder, Colorado | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386712354 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 50 (Colorado) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Richard Shane, PHD 3980 Broadway St, Suite 103-165, Boulder, CO 80304-1133 Ph: (303) 304-9933 | Dr Richard Shane, PHD 3980 Broadway St, Suite 103-165, Boulder, CO 80304-1133 Ph: (303) 304-9933 | 
| Ms. Glenda Russell O'rourke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4716 Ashfield Ct, Boulder, CO 80301 Phone: 303-443-9446 Fax: 303-447-2173 | |
| Veronique P Mead, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4439 Driftwood Pl, Boulder, CO 80301 Phone: 303-581-0411 | |
| Carlos Trujillo,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-413-6212 | |
| Guilherme Zavaschi,  Counselor Medicare: Medicare Enrolled Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 | |
| Ms. Regina Cannon, REGISTERED PSYCHOTHE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 | |
| Amanda Fielder,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 Fax: 303-449-6029 | |
| Lynne Marie Andrade, MA, LPCC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3360 Everett Dr, Boulder, CO 80305 Phone: 970-532-9999 |