Provider Demographics
NPI:1871776419
Name:CABLE, EDWARD NOEL (PSYD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:NOEL
Last Name:CABLE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9200 W CROSS DR
Mailing Address - Street 2:SUITE 421
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-2239
Mailing Address - Country:US
Mailing Address - Phone:303-432-5605
Mailing Address - Fax:303-432-5640
Practice Address - Street 1:9200 W CROSS DR
Practice Address - Street 2:SUITE 421
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2239
Practice Address - Country:US
Practice Address - Phone:303-432-5605
Practice Address - Fax:303-432-5640
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO2174103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOB4145Medicare PIN