Provider Demographics
NPI:1093853681
Name:SONGY, DAVID G (PSYD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:SONGY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3553 WYANDOT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2948
Mailing Address - Country:US
Mailing Address - Phone:303-477-5542
Mailing Address - Fax:
Practice Address - Street 1:1300 S STEELE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2526
Practice Address - Country:US
Practice Address - Phone:303-282-3434
Practice Address - Fax:303-282-3453
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2545103TC0700X
KS1107103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical