Basic Information
| Provider Information | |||||||||
| NPI: | 1780935882 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | INMAN | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PSYD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1283 KELLY JOHNSON BLVD STE 200 | ||||||||
| Address2: | |||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809203925 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7194136776 | ||||||||
| FaxNumber: | 7192036847 | ||||||||
| Practice Location | |||||||||
| Address1: | 1426 N HANCOCK AVE | ||||||||
| Address2: | SUITE 5N | ||||||||
| City: | COLORADO SPRINGS | ||||||||
| State: | CO | ||||||||
| PostalCode: | 809032618 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7196508559 | ||||||||
| FaxNumber: | 7194470371 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/28/2012 | ||||||||
| LastUpdateDate: | 11/01/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 11/01/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 3997 | CO | N | Behavioral Health & Social Service Providers | Psychologist | Clinical | 103G00000X | 3997 | CO | Y | Behavioral Health & Social Service Providers | Clinical Neuropsychologist |
No ID Information.