Provider Demographics
NPI:1962947028
Name:HEALTH PSYCHOLOGY DENVER, PLLC
Entity type:Organization
Organization Name:HEALTH PSYCHOLOGY DENVER, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTSCUH
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:720-515-9427
Mailing Address - Street 1:1221 S CLARKSON ST
Mailing Address - Street 2:#302
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-1625
Mailing Address - Country:US
Mailing Address - Phone:720-515-9427
Mailing Address - Fax:
Practice Address - Street 1:1221 S CLARKSON ST
Practice Address - Street 2:#302
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-1625
Practice Address - Country:US
Practice Address - Phone:720-515-9427
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health