Provider Demographics
NPI:1699981472
Name:KIRCHHOFER, MARK L (PHD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:L
Last Name:KIRCHHOFER
Suffix:
Gender:M
Credentials:PHD
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Other - First Name:
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Mailing Address - Street 1:6059 S QUEBEC ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4514
Mailing Address - Country:US
Mailing Address - Phone:303-796-8831
Mailing Address - Fax:303-740-0470
Practice Address - Street 1:6059 S QUEBEC ST
Practice Address - Street 2:SUITE 201
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4514
Practice Address - Country:US
Practice Address - Phone:303-796-8831
Practice Address - Fax:303-740-0470
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO954103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical